Nitric oxide donors

ABSTRACT

The invention relates to novel NO donors which are targeted to the mitochondria. The NO donor compounds of the invention allow NO to be selectively provided to the mitochondria.

CROSS REFERENCE TO RELATED APPLICATIONS

This application is a divisional of U.S. patent application Ser. No.12/732,909, filed on Mar. 26, 2010 (currently pending). U.S. patentapplication Ser. No. 12/732,909 is a continuation-in-part of U.S. patentapplication Ser. No. 12/412,930, filed Mar. 27, 2009 (currentlyabandoned). U.S. application Ser. No. 12/412,930 is acontinuation-in-part of International patent application no.PCT/NZ2007/000282, filed Sep. 26, 2007 (currently expired), which claimsthe benefit of U.S. Provisional Application No. 60/847,686, filed Sep.28, 2006.

TECHNICAL FIELD

The invention relates to nitric oxide donor compounds and uses thereof,in particular nitric oxide donor compounds comprising a thionitriteconjugated to triphenylphosphonium cation.

BACKGROUND OF INVENTION

The endogenous formation of nitric oxide (NO) plays a key role in manybio-regulatory systems including immune stimulation, plateletinhibition, neurotransmission, and smooth muscle relaxation (Wang, P.G., Xian, M., Tang, X., Wu, X., Wen, Z., Cai, T., Janczuk, A. J. Chem.Rev. 2002, 102, 1091-1134). Due to the instability and inconvenience ofhandling aqueous solutions of NO, there is increasing interest incompounds capable of generating NO in situ, i.e., NO donors.

All nitrogen-oxygen bonded compounds have the potential to decompose, beoxidized, or be reduced to produce reactive nitrogen species.Accordingly, a diverse range of NO donors has been developed includingorganic nitrates and nitrites, metal-NO complexes, N-nitrosamines,thionitrites, furoxans and benzofuroxans, oximes andN-hydroxyguanidines. However, the NO donors developed to date are poorlytaken up by cells and are not targeted to particular compartments of thecell. Therefore, the presently known NO donors mainly produce NO in thecirculation and thus expose a range of NO receptors to NO.

S-Nitrosylation (also referred to as S-nitrosation) is thepost-translational addition of a nitrosyl group to a protein. Inaddition to releasing free NO, NO donors can also transfer a nitrosoniumgroup to a protein thiol to form an S-nitrosylated product. Themodulation of S-nitrosylation may be involved in regulating a number ofpathways important in cell metabolism (Nature Reviews: Molecular CellBiology, 2005, 6:2, pp 150-166).

Recently, it has been shown that cytochrome c oxidase (complex IV of themitochondrial respiratory chain) is reversibly inhibited by NO (Brown,G. C. and Cooper, C. E. FEBS Lett. 1994, 356, 295-298; Cleeter, M. J.W., Cooper, J. M., Darley-Usmer, V. M., Moncada, S. and Schapira, A. H.V. FEBS Lett. 1994, 345, 50-54; Schweizer, M. and Richter, C. Biochem.Biophys. Res. Commum. 1994, 204, 169-175).

This may be a physiologically relevant mechanism to limit oxygenconsumption, mitochondrial ROS (reactive oxygen species) production,apoptosis and mitochondrial biogenesis and morphology.

Transfer of the nitrosonium group to protein thiols may also be involvedin regulating mitochondrial function, for example at complex I (Dahm, C.C., Moore, K., Murphy, M. P., J. Biol. Chem. 2006, 281, pp 10056-10065).S-Nitrosylation of particular mitochondrial thiol proteins such ascomplex I may play a protective role in conditions such asischaemia-reperfusion injury (Journal of Molecular and CellularCardiology, 2007, 42:4, pp 812-825).

In order to investigate this function of NO, it would be useful to havea NO donor compound that selectively released NO in the mitochondria. Inaddition, a number of medical conditions are influenced by theselective, reversible inhibition of mitochondria. Therefore amitochondrially targeted NO donor would have potential as a therapeuticagent.

It is therefore an object of the invention to provide a targeted NOdonor compound, or at least to provide the public with a useful choice.

SUMMARY OF INVENTION

In one aspect the invention provides a compound comprising a lipophiliccation linked by a linker group to a thionitrite moiety;

and a pharmaceutically acceptable anion;

wherein the lipophilic cation is capable of mitochondrially targetingthe thionitrite moiety.

In one embodiment the lipophilic cation is a substituted orunsubstituted triphenylphosphonium cation. In one embodiment, asubstituted triphenylphosphonium cation is substituted with one or morealkyl groups, preferably methyl or ethyl groups.

In one embodiment the linker group is selected from the group comprising

-   -   (a) (C₁-C₃₀) alkylene,    -   (b) (C₁-C_(x)) alkylene-NR—(C₁-C_(y)) alkylene, wherein R is H,        alkyl, or aryl,    -   (c) (C₁-C_(x)) alkylene-NR—C(═O)—(C₁-C_(y)) alkylene, wherein R        is H, alkyl, or aryl,    -   (d) (C₁-C_(x)) alkylene-C(═O)—NR—(C₁-C_(y)) alkylene, wherein R        is H, alkyl, or aryl,    -   (e) (C₁-C_(x)) alkylene-O—(C₁-C_(y)) alkylene,    -   (f) (C₁-C_(x)) alkylene-O—C(═O)—(C₁-C_(y)) alkylene,    -   (g) (C₁-C_(x)) alkylene-S—(C₁-C_(y)) alkylene, and    -   (h) (C₁-C_(x)) alkylene-aryl-(C₁-C_(y)) alkylene,

wherein x+y=30 and wherein the alkylene group is optionally substitutedwith one or more functional groups independently selected from the groupconsisting of hydrogen, alkyl, cycloalkyl, alkenyl, alkynyl, haloalkyl,aryl, aminoalkyl, hydroxyalkyl, alkoxyalkyl, alkylthio, alkylsulfinyl,alkylsulfonyl, carboxyalkyl, cyano, oxy, amino, alkylamino,aminocarbonyl, alkoxycarbonyl, aryloxycarbonyl, alkylaminocarbonyl,arylaminocarbonyl, aralkylaminocarbonyl, alkylcarbonylamino,arylcarbonylamino, aralkylcarbonylamino, alkylcarbonyl,heterocyclocarbonyl, aminosulfonyl, alkylaminosulfonyl, alkylsulfonyl,and heterocyclosulfonyl, or the substituent groups of adjacent carbonatoms in the linker group can be taken together with the carbon atoms towhich they are attached to form a carbocycle or a heterocycle.

In another aspect the invention provides a compound of formula (I)

wherein ˜L˜ is a linker group and X is an optional anion.

In another aspect the invention provides a compound of formula (I)

wherein ˜L˜ is a linker group and X is an optional anion where thelinker group is selected from the group comprising

-   -   (a) (C₁-C₃₀) alkylene,    -   (b) (C₁-C_(x)) alkylene-NR—(C₁-C_(y)) alkylene, wherein R is H,        alkyl, or aryl,    -   (c) (C₁-C_(x)) alkylene-NR—C(═O)—(C₁-C_(y)) alkylene, wherein R        is H, alkyl, or aryl,    -   (d) (C₁-C_(x)) alkylene-C(═O)—NR—(C₁-C_(y)) alkylene, wherein R        is H, alkyl, or aryl,    -   (e) (C₁-C_(x)) alkylene-O—(C₁-C_(y)) alkylene,    -   (f) (C₁-C_(x)) alkylene-O—C(═O)—(C₁-C_(y)) alkylene,    -   (g) (C₁-C_(x)) alkylene-S—(C₁-C_(y)) alkylene, and    -   (h) (C₁-C_(x)) alkylene-aryl-(C₁-C_(y)) alkylene,

wherein x+y=30 and wherein the alkylene group is optionally substitutedwith one or more functional groups independently selected from the groupconsisting of hydrogen, alkyl, cycloalkyl, alkenyl, alkynyl, haloalkyl,aryl, aminoalkyl, hydroxyalkyl, alkoxyalkyl, alkylthio, alkylsulfinyl,alkylsulfonyl, carboxyalkyl, cyano, oxy, amino, alkylamino,aminocarbonyl, alkoxycarbonyl, aryloxycarbonyl, alkylaminocarbonyl,arylaminocarbonyl, aralkylaminocarbonyl, alkylcarbonylamino,arylcarbonylamino, aralkylcarbonylamino, alkylcarbonyl,heterocyclocarbonyl, aminosulfonyl, alkylaminosulfonyl, alkylsulfonyl,and heterocyclosulfonyl, or the substituent groups of adjacent carbonatoms in the linker group can be taken together with the carbon atoms towhich they are attached to form a carbocycle or a heterocycle.

In another aspect the invention provides a compound of formula (II)

wherein n is from 0 to 27, X is an optional anion and R₁ and R₂ areindependently selected from the group comprising hydrogen, alkyl andaryl.

In another aspect the invention provides a compound of formula (III)

wherein n is from 0 to 27, X is an optional anion and R₁, R₂, R₃ and R₄are independently selected from the group comprising hydrogen, alkyl andaryl.

In another aspect the invention provides a compound of formula (IV)

wherein n is from 0 to 27, X is an optional anion and R₁, R₂ and R₃ areindependently selected from the group comprising hydrogen, alkyl andaryl.

In another aspect the invention provides a compound of formula (V)

wherein n is from 0 to 24, X is an optional anion and R₁, R₂, R₃, R₄ andR₅ are independently selected from the group comprising hydrogen, alkyland aryl.

In another aspect the invention provides a compound of formula (VI)

wherein n is from 0 to 24, X is an optional anion and R₁, R₂, R₃, and R₄are independently selected from the group comprising hydrogen, alkyl andaryl.

In another aspect the invention provides a pharmaceutical compositioncomprising a therapeutically effective amount of a compound of theinvention in combination with one or more pharmaceutically acceptableexcipients, carriers or diluents.

In another aspect the invention provides a method of treatingAlzheimer's disease in a subject in need thereof, said method comprisingadministering to the subject a therapeutically effective amount of acompound of the invention or a pharmaceutical composition comprisingsame.

In another aspect the invention provides a method of treatingParkinson's disease in a subject in need thereof, said method comprisingadministering to the subject a therapeutically effective amount of acompound of the invention or a pharmaceutical composition comprisingsame.

In another aspect the invention provides a method of treating a diseaseor disorder selected from the group comprising cancer, neoplasms, tumorgrowth, metastasis, angina, stroke, myocardial infarction andischaemia-reperfusion injury in a subject in need thereof, said methodcomprising administering to the subject a therapeutically effectiveamount of a compound of the invention or a pharmaceutical compositioncomprising same.

In another aspect the invention provides a method of inhibitingangiogenesis in a subject in need thereof, said method comprisingadministering to the subject a therapeutically effective amount of acompound of the invention or a pharmaceutical composition comprisingsame

In another aspect the invention provides a method for generating NO inthe mitochondria of a subject comprising administering to the subject, atherapeutically effective amount of a compound of the invention or apharmaceutical composition comprising same

In another aspect the invention provides a method for inhibitingcytochrome oxidase in the mitochondria of a subject comprisingadministering to the subject, a therapeutically effective amount of acompound of the invention or a pharmaceutical composition comprisingsame.

In another aspect the invention provides a method for S-nitrosylatingproteins in the mitochondria of a subject comprising administering tothe subject, a therapeutically effective amount of a compound of theinvention or a pharmaceutical composition comprising same.

BRIEF DESCRIPTION OF THE DRAWINGS

Preferred features of the invention will be described, by way of exampleonly, with reference to the following figures.

FIG. 1 is a schematic diagram showing the effects of a compound of theinvention (MitoSNO) when delivered to a cell. MitoSNO accumulates withinthe mitochondria and releases NO, inhibiting cytochrome oxidase bycompeting with oxygen.

FIG. 2 is a trace showing NO release from a compound of the invention(MitoSNO) measured using a NO electrode in the presence and absence ofglutathione (GSH). The trace shown is typical of two experiments.

FIG. 3 is a trace showing MitoSNO uptake into energized respiringmitochondria in a ΔΨ-dependent manner. Oxygen (black trace) and TPPcation (dashed trace) concentrations were measured simultaneously. Thetrace shown is typical of two experiments.

FIG. 4 is a trace showing MitoSNO uptake into respiring mitochondria ina ΔΨ-dependent manner. Oxygen (black trace) and TPP(triphenylphosphonium) cation (dashed trace) concentrations weremeasured. The trace shown is typical of two experiments. MitoSNO uptakeleads to production of NO inside the mitochondria which graduallyinhibits respiration, as indicated by the shape of the oxygen electrodetrace. This also decreases the membrane potential, as shown by thedecreased uptake of MitoSNO.

FIG. 5 is a graph showing the concentration of nitrate formed over timefrom a compound of the invention (MitoSNAP) compared to SNAP. The NOreleased from MitoSNAP reacts with oxygen to form nitrite.

FIG. 6 is a trace showing release of NO from MitoSNAP, as assessed bymeasuring the formation of NO with an NO electrode then degrading the NOto nitrate by addition of oxyhemoglobin (Oxy Hb).

FIG. 7 is a trace showing the interaction of isolated mitochondria withMitoSNAP. The trace shows the results from an NO-electrode (measuringNO) and an oxygen electrode (measuring respiration of the mitochondria).In the upper trace, addition of succinate to energise the mitochondrialeads to a large increase in NO formation due to accumulation ofMitoSNAP into the mitochondria and subsequent NO release. The releasedNO then interacts with cytochrome oxidase to decrease respiration, asindicated by the curving off of the oxygen electrode trace. In contract,in the lower trace, the effects of MitoSNAP on NO production andinhibition of respiration are much lower in the presence of uncouplingmolecules FCCP. FCCP abolishes the membrane potential preventing uptakeof MitoSNAP into the mitochondria.

FIG. 8 is a trace showing the uptake of MitoSNAP and MitoNAP byenergized mitochondria measured using an ion-selective electrode. For(a) and (b) mitochondria (2 mg protein/ml) were incubated in KCl buffersupplemented with rotenone in a stirred 3 ml chamber thermostatted at37° C. and shielded from ambient light. An electrode selective for theTPP cation was inserted and calibrated by five sequential 1 μM additionsof MitoNAP (a) or MitoSNAP (b). Succinate (10 mM) was then added toenergize the mitochondria, followed by the uncoupler FCCP (0.5 μM).Rapid uptake of MitoNAP by energized mitochondria was observed and thiswas reversed by abolishing the membrane potential with the uncouplerFCCP (a). Energised mitochondria also rapidly accumulated MitoSNAP (b).However, in contrast to MitoNAP, uncoupling apparently led to onlypartial release of the accumulated MitoSNAP (b). This apparentincomplete release of MitoSNAP on uncoupling is presumably becauseMitoSNAP is converted to MitoNAP within mitochondria and this generatesa different response from the electrode.

FIG. 9 is a series of traces and graphs showing membranepotential-dependent MitoSNAP mitochondrial uptake and NO. generation.(a-d) Liver mitochondria were incubated in KCl medium supplemented withrotenone in a stirred 3 ml chamber and electrodes were used to measurethe concentrations of O₂ and NO. simultaneously. Where indicatedsuccinate (10 mM), OxyHb (5 μM) or FCCP (500 nM) were added. For (a) and(b) 2 mg mitochondrial protein/ml and 20 μM MitoSNAP (a) or SNAP (b)were used. For (c) and (d) 0.5 mg mitochondrial protein/ml and 5 μMMitoSNAP were used. There was no effect of 5 μM MitoNAP on respirationor NO. production. All traces are from typical experiments repeated atleast twice. (e-f) Mitochondria (1 mg protein) were incubated in 1 mlKCl medium without neocuproine or DTPA, supplemented with rotenone andsuccinate in the absence (e) or presence (f) of FCCP (500 nM).Mitochondria were then pelleted by centrifugation (10,000×g) thenaliquots of the supernatant (700 μl) were mixed with 700 μl 0.1% TFA andanalyzed by RP-HPLC. The amount of MitoSNAP and MitoNAP were calculatedas the percentage of their peak areas relative to the sum of both peakareas.

FIG. 10 is a series of traces and graphs showing the effect of MitoSNAPon respiration in cells. (a-d) Jurkat cells (55×10⁶ cells) wereincubated in PBS supplemented with 25 mM Hepes pH 7.2 (NaOH), 1 mMsodium pyruvate, 10 μM neocuproine and 100 μM DTPA in the stirred 2.5 mlchamber of an oxygen electrode at 37° C. with 5 μM MitoSNAP (a), MitoNAP(b), SNAP (c) or MitoSNAP and FCCP (500 nM) (d). Where indicated 5 μMOxyHb was added. Traces show typical experiments that were repeated atleast three times. Sections of the O₂ electrode trace where OxyHb wasadded for (a) and (b) have been expanded 4-fold in the verticaldimension to facilitate inspection. In all traces the dashed lineindicates anaerobiosis. (e) Effect of MitoSNAP on O₂ bioavailability inhypoxia. HeLa cells were incubated at 1% O₂ concentration with 5% CO₂and the balance N₂ for 60 min before the indicated treatments. CellularpO₂ values, measured by fluorescence quenching oximetry and expressed asmean±sd, are shown. (**p<0.001 compared to hypoxia alone and to MitoNAPtreatments by ANOVA).

FIG. 11 is a series of graphs showing S-nitrosation of mitochondrialthiols by MitoSNAP. (a) Time course of S-nitrosation of mitochondrialproteins by MitoSNAP. Liver mitochondria (1 mg protein) were incubatedin 1 ml KCl buffer supplemented with rotenone and succinate in thepresence of 5 μM MitoSNAP. At various times mitochondria were treatedwith 10 mM N-ethylmaleimide (NEM), isolated by centrifugation and theS-nitrosothiol content assessed. Data are of a typical experimentshowing means±range of duplicate samples for each time point, eachmeasured in duplicate. The experiment was repeated twice. (b)S-nitrosation of mitochondrial proteins by different concentrations ofMitoSNAP and SNAP. Aliquots of liver mitochondria were incubated withthe indicated concentrations of MitoSNAP or SNAP for 2.5 min in thepresence or absence of 500 nM FCCP and then assessed for S-nitrosothiolcontent as in (a). For the +NEM sample, 10 mM NEM was added to themitochondria and 1 min later 5 μM MitoSNAP was added and incubated for afurther 2.5 min. Data are of a typical experiment showing means±range ofduplicate samples for each time point, each measured in duplicate. Theexperiment was repeated twice. (c) S-nitrosation of cellular proteinthiols by MitoSNAP. C2C12 cells were preincubated for 5 min in 2 ml cellculture medium containing either 20 μM FCCP or DMSO carrier, then 5 μMMitoSNAP or SNAP was added. After further incubation for 5 min at 37° C.in the dark, the medium was removed and the content of S-nitrosatedproteins was measured. Data are means t range of the duplicatedeterminations. Control incubations with 5 μM MitoNAP generated no RSNO.(d) S-nitrosation of a mitochondria-enriched cell subfraction. C2C12cells were preincubated for 5 min in cell culture medium containingeither 20 μM FCCP or dimethylsulfoxide (DMSO) carrier, then 5 μMMitoSNAP was added. After 5 min at 37° C. in the dark, the medium wasremoved and the cells were processed to isolate a mitochondria-enrichedfraction and S-nitrosated protein was then determined. Data are mean±semof triplicate determinations (+MitoSNO1), or mean±range of duplicatedeterminations (+FCCP). (e & f) Visualisation of S-nitrosatedmitochondrial proteins by copper/ascorbate-dependent labelling of thiolswith a Cy3 fluorophore. Liver (e) or heart (f) mitochondria (1 mgprotein) were incubated in 1 ml KCl buffer supplemented with rotenoneand succinate in the presence of no additions, 10 μM MitoSNAP or 500 μMdiamide for 5 min. S-nitrosated thiols were then selectively tagged withCy3 maleimide and protein (10 μg) was then separated on a 12.5% SDS PAGEgel which was stained with coomassie blue and scanned for Cy3fluorescence. The Cy3 fluorescence (SNO) and coomassie staining(coomassie) of each gel is shown. The experiment shows a typical resultrepeated twice.

FIG. 12 is a graph showing the effect of OxyHb on S-nitrosation ofmitochondrial thiols by MitoSNAP. Time course of S-nitrosation ofmitochondrial proteins by MitoSNAP. Aliquots of liver mitochondria (1 mgprotein/nil) were incubated at 37° C. in 1 ml KCl buffer supplementedwith rotenone and succinate in the presence of 5 μM MitoSNAP and 5 μMOxyHb and at various times mitochondria were treated with 10 mM NEM andisolated by centrifugation and the S-nitrosothiol content assessed. Dataare of a typical experiment showing means±range of duplicate samples foreach time point, each measured in duplicate. The experiment was repeatedtwice with the same result.

FIG. 13 is a trace and graph showing limited S-nitrosation ofmitochondria by DetaNONOate. (a) Rat liver mitochondria (1 mgprotein/ml) were incubated in KCl medium supplemented with rotenone andsuccinate at 37° C. in the 3 ml stirred chamber of an NO. electrode.Where indicated 500 μM DetaNONOate was added and the concentration ofNO. was measured over time, before 5 μM OxyHb was added. B. Rat livermitochondria (1 mg protein/ml) were incubated in 1 ml KCl mediumsupplemented with rotenone and succinate at 37° C. with 500 μMDetaNONOate for 5 min. Then protein pellets were resuspended andprocessed for analysis of protein S-nitrosothiols. Control incubationsin the presence of 10 mM NEM were also carried out. Data are means frange of two independent experiments each being the average of fourmitochondrial incubations.

FIG. 14 is a graph showing the time course of S-nitrosation of cellproteins by MitoSNAP. Six 25 cm² flasks were seeded with C2C12 cells in2 ml cell culture medium and incubated overnight. Then 5 μM MitoSNAP wasadded to each flask and they were incubated for the indicated times at37° C. in the dark. The cells were then processed to measureS-nitrosated protein thiols. The experiment was repeated twice withsimilar results.

FIG. 15 is a series of graphs and pictures showing inhibition andS-nitrosation of complex I by MitoSNAP. (a) Effect of MitoSNAP onmitochondrial respiration. Heart mitochondria (1 mg protein/ml) wereincubated in 1 ml KCl medium supplemented with 1 mM phosphate in anoxygen electrode with 5 mM glutamate and 5 mM malate, or succinate, andincubated with 10 μM MitoSNAP, 10 μM MitoNAP or carrier for 2 min(succinate) or 3 min (glutamate/malate), then 250 μM adenosinediphosphate (ADP) was added and the rate of respiration was measured.Respiration in the presence of MitoSNAP is expressed as a percentage ofthat with MitoNAP, and are means±sem from 3 separate mitochondrialpreparations, each determined in triplicate; *p<0.05 by Student's pairedt test. Respiration rates of control mitochondria on succinate andglutamate/malate were 140±8 and 92±5 nmol O₂/min/mg protein (means±sem,n=3), respectively. MitoNAP decreased control respiration on eithersubstrate by about 3-4%. (b) Effect of MitoSNAP on respiration bymitochondrial membranes. Bovine heart mitochondrial membranes (0.25 mgprotein/ml) were incubated in 1 ml KCl medium in an O₂ electrode at 37°C., and incubated with 75 μM MitoSNAP or MitoNAP, or ethanol carrier for5 min in the presence or absence of rotenone, then 1 mM NADH or 10 mMsuccinate was added and the rate of respiration was measured. Data areexpressed as respiration in the presence of MitoSNAP or MitoNAP as apercentage of the appropriate controls and are means±range of twoseparate experiments, each determined in triplicate. Respiration ratesof control mitochondrial membranes on NADH or succinate were 198±33 and56±3 nmol O₂/min/mg protein (means±range, n=2), respectively. (c)S-nitrosation of complex I by MitoSNAP. Bovine heart mitochondrialmembranes (0.25 mg protein/ml) were incubated in duplicate in KCl mediumat 37° C. with 75 μM MitoSNAP or carrier for 5 min. Then protein SNOswere labelled by maleimide-Cy3 and intact mitochondrial respiratorycomplexes were separated by BN-PAGE which was then scanned for Cy3fluorescence. The location of respiratory complexes I, III and V on thegel was determined by immunoblotting. (d) Effect of GSH on S-nitrosationof complex I by MitoSNAP. Bovine heart mitochondrial membranes wereincubated and processed as described for (c) except that afterincubation±MitoSNAP the membranes were incubated±1 mM GSH for 15 min.

FIG. 16 is a series of graphs showing the vasodilatory and tissueprotective effects of MitoSNAP. (a) Dose-response curves for the effectof MitoSNAP and related compounds on blood vessel relaxation. Theeffects of intact or decomposed MitoSNAP and SNAP on pre-contracted ratthoracic aorta mounted in a myograph were determined. Data representmeans±sem. For MitoSNAP n=8 from experiments on two independent rataorta preparations. For decomposed MitoSNAP and SNAP experiments thedata (n=4) are from one aorta preparation. (b) EC₅₀ for the effect ofMitoSNAP and SNAP on blood vessel relaxation. The EC₅₀ values weredetermined from experiments shown in (a) above. ***p<0.001 by Student'sunpaired t-test. (c & d) MitoSNAP protects against I/R injury inLangendorff-perfused mouse hearts. Hearts from C57BL6 mice wereLangendorff perfused and subjected to 25 min global normothermicischemia followed by 1 h of reperfusion. MitoSNAP or MitoNAP (100 nMfinal), or vehicle carrier, was added via an infusion port above theaortic cannula during reperfusion. Hearts were then stained with2,3,5-triphenyltetrazolium chloride (TTC) to visualize infarct. (c)Protection of heart function by MitoSNAP during I/R injury. Leftventricular contractile function was recorded throughout the I/Rprotocol. Data show Rate Pressure Product (RRP, the heart ratemultiplied by the left ventricular developed pressure (systolic minusdiastolic). The arrow indicates where infusion with MitoSNAP or MitoNAPwas initiated. Data are means±sem, n=6-7. (d) Decreased cardiac infarctsize following infusion with MitoSNAP. Upper panel shows typical infarctstaining in vehicle control, MitoNAP and MitoSNAP treated hearts. Palewhite staining is necrotic infarct, while live tissue stains deep red.Lower panel shows quantitation of infarct size versus area at risk. Dataare means±sem, n=6-7. *p<0.05 versus vehicle control group, ^(#)p<0.05versus vehicle control group (ANOVA).

FIG. 17 is a graph showing vasorelaxation of endothelium-denuded ratsmall mesenteric artery preparations by MitoSNAP and SNAP. To measurevessel relaxation in endothelium-denuded rat mesenteric artery maleWistar rats (250-350 g) were anesthetized with sodium pentobarbitone (60mg/kg ip Sagatal, Rhone Merieux, Harlow, Essex UK). The mesentery wasremoved and placed in ice-cold, gassed (95% O₂/5% CO₂) Krebs-Henseleitbuffer. Segments (2 mm in length, 250-350 μm in diameter) of third orderbranches of the superior mesenteric artery were removed, endothelium wasremoved by rubbing the intima with a human forearm hair and mounted in aMulvany-Halpern myograph (Model 500A, JP trading, Aarhus, Denmark) asdescribed². Vessels were maintained at 37° C. in Krebs-Henseleitsolution containing indomethacin (10 μM) and bubbled with 95% O₂/5% CO₂and were allowed to equilibrate under zero tension for 60 min. Afterequilibration vessels were normalized to a tension equivalent thatgenerated at 90% of the diameter of the vessel at 100 mm Hg³. Vesselswere precontracted with methoxamine and then sequential cumulativeadditions of test compounds were made to relax the vessels shielded fromdirect light. Relaxation of muscle tone are expressed as a percentage ofrelaxation of the initial tone. Data are means of four determination ofMitoNAP and MitoSNAP and of 6 for SNAP. Data from the dose-responsecurves were fitted to a logistic curve, with the following parameters:MitoSNAP, EC₅₀=16.5±1.1 nM, max. relaxation of induced tone=96±1% andslope function (Hill slope)=1.3±0.1; SNAP, EC₅₀=5.2±0.5 nM, max.relaxation of induced tone=92±2% and slope function (Hillslope)=1.0±0.1. The data for MitoNAP did not fit to a logistic curve.

FIG. 18 is a graph showing the effect of pre-ischemic administration ofMitoSNAP or MitoNAP on recovery of heart function (rate pressureproduct) from IR injury. Experiments were carried out exactly asdescribed in FIGS. 16c & 16 d, except that MitoSNO1 or MitoNAP wereinfused into the heart for 20 min, followed by a 2 min wash-out period,prior to the onset of ischemia. White symbols=vehicle control, blacksymbols=MitoSNO1, gray symbols=MitoNAP. Data are means±sem, n≧6.

FIG. 19 is a pictorial representation of the area at risk (AR) andinfarct zone, stained with Evans' blue and TTC respectively, thenscanned. The infarct/AR ratios were determined with NIH Image) software.

DETAILED DESCRIPTION OF THE INVENTION 1. Definitions

The term “alkyl,” by itself or as part of another substituent, means,unless otherwise stated, a straight or branched chain, or cyclichydrocarbon radical, or combination thereof, which may be fullysaturated, mono- or polyunsaturated and can include di- and multivalentradicals, having the number of carbon atoms designated (i.e. C₁-C₁₀means one to ten carbons). Examples of saturated hydrocarbon radicalsinclude groups such as methyl, ethyl, n-propyl, isopropyl, n-butyl,t-butyl, isobutyl, sec-butyl, cyclohexyl, (cyclohexyl)ethyl,cyclopropylmethyl, homologs and isomers of, for example, n-pentyl,n-hexyl, n-heptyl, n-octyl, and the like. An unsaturated alkyl group isone having one or more double bonds or triple bonds. Examples ofunsaturated alkyl groups include vinyl, 2-propenyl, crotyl,2-isopentenyl, 2-(butadienyl), 2,4-pentadienyl, 3-(1,4-pentadienyl),ethynyl, 1- and 3-propynyl, 3-butynyl, and the higher homologs andisomers. The term “alkyl,” unless otherwise noted, is also meant toinclude those derivatives of alkyl defined in more detail below as“cycloalkyl” and “alkylene.” The term “alkylene” by itself or as part ofanother substituent means a divalent radical derived from an alkane, asexemplified by —CH₂CH₂CH₂CH₂—. Typically, an alkyl group will have from1 to 24 carbon atoms, with those groups having 10 or fewer carbon atomsbeing preferred in the present invention. A “lower alkyl” or “loweralkylene” is a shorter chain alkyl or alkylene group, generally havingeight or fewer carbon atoms.

The terms “cycloalkyl” by itself or in combination with other terms,represent, unless otherwise stated, a cyclic versions of “alkyl”.Examples of cycloalkyl include cyclopentyl, cyclohexyl, 1-cyclohexenyl,3-cyclohexenyl, cycloheptyl, and the like.

The term “alkenyl”, as used herein, means a hydrocarbon radical havingat least one double bond including, but not limited to, ethenyl,propenyl, 1-butenyl, 2-butenyl and the like.

The term “alkynyl”, as used herein, means a hydrocarbon radical havingat least one triple bond including, but not limited to, ethynyl,propynyl, 1-butynyl, 2-butynyl and the like.

The terms “halo” or “halogen,” by themselves or as part of anothersubstituent, mean, unless otherwise stated, a fluorine, chlorine,bromine, or iodine atom. Additionally, terms such as “fluoroalkyl,” aremeant to include monofluoroalkyl and polyfluoroalkyl.

The term “aryl,” employed alone or in combination with other terms(e.g., aryloxy, arylthioxy, arylalkyl) means, unless otherwise stated,an aromatic substituent which can be a single ring or multiple rings (upto three rings) which are fused together or linked covalently. The ringsmay each contain from zero to four heteroatoms selected from N, O, andS, wherein the nitrogen and sulfur atoms are optionally oxidized, andthe nitrogen atom(s) are optionally quaternized. The aryl groups thatcontain heteroatoms may be referred to as “heteroaryl” and can beattached to the remainder of the molecule through a heteroatom.Non-limiting examples of aryl groups include phenyl, 1-naphthyl,2-naphthyl, 4-biphenyl, 1-pyrrolyl, 2-pyrrolyl, 3-pyrrolyl, 3-pyrazolyl,2-imidazolyl, 4-imidazolyl, pyrazinyl, 2-oxazolyl, 4-oxazolyl,2-phenyl-4-oxazolyl, 5-oxazolyl, 3-isoxazolyl, 4-isoxazolyl,5-isoxazolyl, 2-thiazolyl, 4-thiazolyl, 5-thiazolyl, 2-furyl, 3-furyl,2-thienyl, 3-thienyl, 2-pyridyl, 3-pyridyl, 4-pyridyl, 2-pyrimidyl4-pyrimidyl, 2-benzothiazolyl, 5-benzothiazolyl, 2-benzoxazolyl,5-benzoxazolyl, purinyl, 2-benzimidazolyl, 5-indolyl, 1-isoquinolinyl,5-isoquinolinyl, 2-quinoxalinyl, 5-quinoxalinyl, 3-quinolinyl, and6-quinolinyl. Substituents for each of the above noted aryl ring systemsare selected from the group of acceptable substituents described herein.

The term “alkoxy”, as used herein, means an O-alkyl group wherein“alkyl” is defined above.

The term “sulfonyl” refers to a radical —S(O)₂R where R is an alkyl,substituted alkyl, substituted cycloalkyl, substituted heterocycloalkyl,substituted aryl, or substituted heteroaryl group as defined herein.Representative examples include, but are not limited to methylsulfonyl,ethylsulfonyl, propylsulfonyl, butylsulfonyl, and the like.

The term “sulfinyl” refers to a radical —S(O)R where R is an alkyl,substituted alkyl, substituted cycloalkyl, substituted heterocycloalkyl,substituted aryl, or substituted heteroaryl group as defined herein.Representative examples include, but are not limited to, methylsulfinyl,ethylsulfinyl, propylsulfinyl, butylsulfinyl, and the like.

The term “aralkyl” or “arylalkyl” means an aryl-alkyl-group in which thearyl and alkyl are as previously described. Preferred aralkyls comprisea lower alkyl group attached to the aryl group. Non-limiting examples ofsuitable aralkyl groups include phenymethylene, 2-phenethyl andnaphthalenylmethyl. The bond to the parent moiety is through the alkyl.

The term “pharmaceutically acceptable” as used herein refers tocompounds, ingredients, materials, compositions, dosage forms and thelike, which are within the scope of sound medical judgment, suitable foruse in contact with the tissues of the subject in question (e.g. human)without excessive toxicity, irritation, allergic response, or otherproblem or complication, commensurate with a reasonable benefit/riskratio. Each carrier, diluent, exipient, etc., must also be “acceptable”in the sense of being compatible with the other ingredients of theformulation.

The term “subject” as used herein refers to a human or non-human mammal.Examples of non-human mammals include livestock animals such as sheep,horses, cows, pigs, goats, rabbits, deer, ostriches and emus; andcompanion animals such as cats, dogs, rodents, and horses.

The term “treatment” as used herein in the context of treating acondition, pertains generally to treatment and therapy, whether of humanor animal, in which some desired therapeutic effect is achieved, forexample, the inhibition of progress of the condition, and includes areduction in the rate of progress, a halt in the rate of progress,amelioration of the condition, and cure of the condition. Treatment as aprophylactic measure (i.e., prophylaxis) is also included.

“Treatment” also includes combination treatments and therapies, in whichtwo or more treatments or therapies are combined, for example,sequentially or simultaneously. For example, a therapeutically effectiveamount of a compound of the invention could be combined with or used inconjunction with radiation therapy or chemotherapy in the treatment ofcancer.

The term “therapeutically-effective amount” as used herein, pertains tothat amount of an active compound, or a material, composition or dosageform comprising an active compound, which is effective for producingsome desired therapeutic or prophylactic effect, commensurate with areasonable benefit/risk ratio.

As used herein the term “comprising” means “consisting at least in partof”. When interpreting each statement in this specification thatincludes the term “comprising”, features other than that or thoseprefaced by the term may also be present. Related terms such as“comprise” and “comprises” are to be interpreted in the same manner.

The statements wherein, for example, R′, R² and R³, are said to beindependently selected from a group of substituents, mean that R¹, R²and R³ are independently selected, but also that where an R, R¹, R² andR³ variable occurs more than once in a molecule, each occurrence isindependently selected (e.g., if R is —OR⁶ wherein R⁶ is hydrogen, R²can be —OR⁶ wherein R⁶ is lower alkyl). Those skilled in the art willrecognize that the size and nature of the substituent(s) will affect thenumber of substituents that can be present.

Some compounds of the invention have at least one asymmetrical carbonatom and therefore all isomers, including enantiomers, stereoisomers,rotamers, tautomers and racemates of the compounds are contemplated asbeing part of this invention. The invention includes d and 1 isomers inboth pure form and in admixture, including racemic mixtures. Isomers canbe prepared using conventional techniques, either by reacting opticallypure or optically enriched starting materials or by separating isomersof a compound of the invention. Isomers may also include geometricisomers, e.g., when a double bond is present.

Those skilled in the art will appreciate that for some of the compoundsof the invention, one isomer may show greater pharmacological activitythan other isomers.

It is intended that reference to a range of numbers disclosed herein(for example, 1 to 10) also incorporates reference to all rationalnumbers within that range (for example, 1, 1.1, 2, 3, 3.9, 4, 5, 6, 6.5,7, 8, 9 and 10) and also any range of rational numbers within that range(for example, 2 to 8, 1.5 to 5.5 and 3.1 to 4.7) and, therefore, allsub-ranges of all ranges expressly disclosed herein are hereby expresslydisclosed. These are only examples of what is specifically intended andall possible combinations of numerical values between the lowest valueand the highest value enumerated are to be considered to be expresslystated in this application in a similar manner.

In this specification where reference has been made to patentspecifications, other external documents, or other sources ofinformation, this is generally for the purpose of providing a contextfor discussing the features of the invention. Unless specifically statedotherwise, reference to such external documents is not to be construedas an admission that such documents, or such sources of information, inany jurisdiction, are prior art, or form part of the common generalknowledge in the art.

2. Compounds of the Invention

Thionitrites (RSNO) are an important class of NO donor molecules. Theyare produced in biological systems in response to NO and are believed toplay an important role in storing, transporting and releasing NO underphysiological conditions. It has now been shown that conjugation of athionitrite-containing molecule to a lipophilic cation such as atriphenylphosphonium cation produces a compound that rapidly enters thecell through direct passage through the plasma membrane.

These compounds enable production of NO in the thiol reducingenvironment within the cell. Therefore, use of the lipophilic cationcompounds of the invention may enable more efficient and regulatedintracellular production of NO. Intracellular production of NO may haveapplications for regulating signaling pathways dependent on NO such asvasodilation, regulating activity of intracellular signaling pathwaysthat impact on cell function and on the regulation of mitochondrialbiogenesis.

In addition, NO itself may act as an antioxidant, therefore theintracellular production of NO may to protect against oxidative damagein pathologies (Current Medicinal Chemistry: Anti-inflammatory andAnti-Allergy agents, 2004, 3:3, pp 181-188).

The compounds of the invention not only release free NO but can alsotransfer a nitrosonium group to a protein thiol, thereby forming aS-nitrosylated (S-nitrosated) product. Therefore, the compounds of theinvention allow for manipulation of both free NO and the S-nitrosylation(S-nitrosation) status of cells, in order to manipulate and modify thecell's metabolism and function.

In addition to rapidly causing NO release inside the cell, conjugationto a lipophilic cation enables the NO donor to accumulate within themitochondria. Therefore, the compounds of the invention can selectivelyrelease NO in the mitochondria and/or can S-nitrosylate proteins in themitochondria.

Mitochondria have a substantial membrane potential of up to 180 mVacross their inner membrane (negative inside). Because of the potential,membrane permeant lipophilic cations such as the triphenylphosphoniumcation accumulate several-hundred fold within the mitochondrial matrix.This is illustrated in FIG. 1 which shows the effect of a compound ofthe invention (MitoSNO) when delivered to a whole cell.

MitoSNO is taken up by cells, courtesy of the plasma membrane potential(ΔΨp), and further accumulates in the mitochondrial matrix, driven bythe mitochondrial membrane potential (ΔΨm). Once inside mitochondria,MitoSNO releases NO, which results in direct inhibition of respirationat complex (IV) of the respiratory chain (Brown, G. C. and Cooper, C. E.FEBS Lett. 1994, 356, 295-298; Cleeter, M. J. W., Cooper, J. M.,Darley-Usmer, V. M., Moncada, S. and Schapira, A. H. V. FEBS Lett. 1994,345, 50-54; Schweizer, M. and Richter, C. Biochem. Biophys. Res. Commum.1994, 204, 169-175).

Previously, NO donors have been used to modify blood pressure. However,these NO donors mainly produce NO in the circulation and thus expose arange of NO receptors to NO, thereby affecting blood pressure as well asmitochondria. The compounds of the present invention selectively produceNO within the mitochondria, thereby focusing on the NO effects on therespiratory chain.

In one aspect the invention provides a compound comprising a lipophiliccation linked by a linker group to a thionitrite moiety; and apharmaceutically acceptable anion wherein the lipophilic cation iscapable of mitochondrially targeting the thionitrite moiety.

Lipophilic cations may be targeted to the mitochondrial matrix becauseof their positive charge. Such ions are accumulated provided they aresufficiently lipophilic to screen the positive charge or delocalize itover a large surface area, also provided that there is no active effluxpathway and the cation is not metabolized or immediately toxic to acell.

Preferably the lipophilic cation is a substituted or unsubstitutedtriphenylphosphonium cation. Other lipophilic cations that may be linkedto the thionitrite moiety include tribenzyl ammonium and phosphoniumcations, arsonium cations or other aromatic and delocalized systems thatcan act as lipophilic cations and be accumulated inside mitochondria inresponse to the membrane potential.

In another aspect the invention provides a compound of formula (I)

wherein ˜L˜ is a linker group and X is an optional anion.

The linker group (˜L˜) linking the lipophilic cation to the thionitritemoiety may be any chemically non-active distance-making group (spacer)which joins the triphenylphosphonium cation moiety to the thionitritemoiety, and enables the two moieties to remain bonded together whencrossing the plasma and mitochondrial membranes. In particular ˜L˜ isstable under physiological conditions.

In one embodiment the linker group will be an alkylene group. The term“alkylene” as used herein, means a bidentate moiety obtained by removingtwo hydrogen atoms, either both from the same carbon atom, or one fromeach of two different carbon atoms, of a hydrocarbon compound havingfrom 1 to 30 carbon atoms, preferably 2 to 20, more preferably 2 to 10,even more preferably 3 to 5 and most preferably 4, which may bealiphatic or alicyclic, and which may be saturated, partiallyunsaturated, or fully unsaturated. Thus, the term “alkylene” includesthe sub-classes alkenylene, alkynylene, and cycloalkylene.

In one embodiment the linker group is (C₁-C₃₀) alkylene or substituted(C₁-C₃₀) alkylene. Preferably the linker group is (C₂-C₂₀) alkylene orsubstituted (C₂-C₂₀) alkylene. More preferably, the linker group is(C₂-C₁₀) alkylene or substituted (C₂-C₁₀) alkylene. Most preferably, thelinker group is (C₃-C₅) alkylene or substituted (C₃-C₅) alkylene. Thelinker group may also be substituted by one or more substituent groupsthat increases the solubility of the molecule, increases the uptake ofthe molecule across the plasma and/or mitochondrial membranes, ordecreases the rate of degradation of the molecule in vivo.

In one embodiment the linker group is substituted with one or morefunctional groups independently selected from the group consisting ofhydrogen, alkyl, cycloalkyl, alkenyl, alkynyl, haloalkyl, aryl,aminoalkyl, hydroxyalkyl, alkoxyalkyl, alkylthio, alkylsulfinyl,alkylsulfonyl, carboxyalkyl, cyano, oxy, amino, alkylamino,aminocarbonyl, alkoxycarbonyl, aryloxycarbonyl, alkylaminocarbonyl,arylaminocarbonyl, aralkylaminocarbonyl, alkylcarbonylamino,arylcarbonylamino, aralkylcarbonylamino, alkylcarbonyl,heterocyclocarbonyl, aminosulfonyl, alkylaminosulfonyl, alkylsulfonyl,and heterocyclosulfonyl, or the substituent groups of adjacent carbonatoms in the linker group can be taken together with the carbon atoms towhich they are attached to form a carbocycle or a heterocycle.

In one embodiment the linker group may be substituted by alkyl,hydroxyl, thio, amino, carboxy, amido groups or groups derived fromsugars or sugar derivatives.

In one embodiment the linker group is alkyl or aryl substituted.Preferably the linker group is substituted with one or more substituentsselected from the group comprising hydrogen, methyl, ethyl, propyl,butyl, pentyl, hexyl and aryl.

In one embodiment the linker group is substituted at the carbon α to theS atom. Preferably, the linker group is disubstituted with alkyl or arylat the carbon α to the S atom. More preferably, the linker group isdisubstituted with methyl groups at the carbon α to the S atom.

In one embodiment the linker group is substituted at the carbon β to theS atom. Preferably, the linker group is substituted with a groupselected from alkylcarbonylamino, arylcarbonylamino, alkylaminocarbonyl,arylaminocarbonyl, alkoxycarbonyl and aryloxycarbonyl. More preferably,the linker group is substituted with alkylcarbonylamino at the carbon βto the S atom.

In one embodiment the linker group is alkyl-substituted (C₃-C₅)alkylene, preferably alkyl substituted butylene, more preferably,dimethyl substituted butylene.

In one embodiment the linker group is (C₁-C₃₀) alkylene substituted atthe carbon α to the S atom. Preferably the linker group is (C₂-C₂₀)alkylene substituted at the carbon α to the S atom. More preferably thelinker group is (C₂-C₁₀) alkylene substituted at the carbon α to the Satom. Most preferably the linker group is (C₃-C₅) alkylene substitutedat the carbon α to the S atom. Preferably, the linker group is dimethylsubstituted at the carbon α to the S atom.

The linker group may also include within its structure, one or more arylgroups. The aryl group(s) may be positioned anywhere in the linker.

In one embodiment the linker group is an aryl-containing alkylene chain.Preferably, the linker group is (C₁-C_(x)) alkylene-aryl-(C₁-C_(y))alkylene, or substituted (C₁-C_(x)) alkylene-aryl-substituted (C₁-C_(y))alkylene where x+y=30. Preferably the linker group is (C₂-C₁₅)alkylene-aryl-(C₂-C₁₅) alkylene or substituted (C₂-C₁₅)alkylene-aryl-substituted (C₂-C₁₅) alkylene. More preferably the linkergroup is (C₂-C₁₀) alkylene-aryl-(C₂-C₁₀) alkylene or substituted(C₂-C₁₀) alkylene-aryl-substituted (C₂-C₁₀) alkylene. Most preferablythe linker group is (C₂-C₅) alkylene-aryl-(C₂-C₅) alkylene orsubstituted (C₂-C₅) alkylene-aryl-substituted (C₂-C₅) alkylene.

In one embodiment the aryl group of the linker is substituted.Preferably, the aryl group is substituted with one or more functionalgroups independently selected from the group consisting of hydrogen,alkyl, cycloalkyl, alkenyl, alkynyl, haloalkyl, aryl, aminoalkyl,hydroxyalkyl, alkoxyalkyl, alkylthio, alkylsulfinyl, alkylsulfonyl,carboxyalkyl, cyano, amino, alkylamino, aminocarbonyl,alkylaminocarbonyl, arylaminocarbonyl, aralkylaminocarbonyl,alkylcarbonylamino, arylcarbonylamino, aralkylcarbonylamino,alkylcarbonyl, heterocyclocarbonyl, aminosulfonyl, alkylaminosulfonyl,alkylsulfonyl, and heterocyclosulfonyl.

The linker group may also include within its structure, one or moreheteroatoms such as N, O and S. The heteroatom may be positionedanywhere in the linker.

In one embodiment the linker group is (C₁-C_(x)) alkylene-NR—(C₁-C_(y))alkylene, or substituted (C₁-C_(x)) alkylene-NR-substituted (C₁-C_(y))alkylene, wherein R is hydrogen, alkyl or aryl, and x+y=30. Preferablythe linker group is (C₂-C₁₅) alkylene-NR—(C₂-C₁₅) alkylene orsubstituted (C₂-C₁₅) alkylene-NR-substituted (C₂-C₁₅) alkylene. Morepreferably the linker group is (C₂-C₁₀) alkylene-NR—(C₂-C₁₀) alkylene orsubstituted (C₂-C₁₀) alkylene-NR-substituted (C₂-C₁₀) alkylene. Mostpreferably the linker group is (C₂-C₅) alkylene-NR—(C₂-C₅) alkylene orsubstituted (C₂-C₅) alkylene-NR-substituted (C₂-C₅) alkylene.Preferably, R is hydrogen.

Preferably, the linker group is substituted with a group selected fromalkylcarbonylamino, arylcarbonylamino, alkylaminocarbonyl,arylaminocarbonyl, alkoxycarbonyl and aryloxycarbonyl. More preferably,the linker group is substituted with alkylcarbonylamino at the carbon βto the S atom. Preferably, the linker group is substituted with an alkylor aryl group at the carbon α to the S atom.

In one embodiment the linker group is (C₁-C_(x))alkylene-NR—C(═O)—(C₁-C_(y)) alkylene, or substituted (C₁-C_(x))alkylene-NR—C(═O)-substituted (C₁-C_(y)) alkylene, wherein R ishydrogen, alkyl or aryl and x+y=30. Preferably the linker group is(C₂-C₁₅) alkylene-NR—C(═O)—(C₂-C₁₅) alkylene or substituted (C₂-C₁₅)alkylene-NR—C(═O)-substituted (C₂-C₁₅) alkylene. More preferably thelinker group is (C₂-C₁₀) alkylene-NR—C(═O)—(C₂-C₁₀) alkylene orsubstituted (C₂-C₁₀) alkylene-NR—C(═O)-substituted (C₂-C₁₀) alkylene.Most preferably the linker group is (C₂-C₅) alkylene-NR—C(═O)—(C₂-C₅)alkylene or substituted (C₂-C₅) alkylene-NR—C(═O)-substituted (C₂-C₅)alkylene. Preferably, R is hydrogen.

Where the linker group is(C₁-C_(x))alkylene-NR—C(═O)—(C₁-C_(y))alkylene, either end of the linkermay be attached to the triphenylphosphonium ion. In other words, in oneembodiment the linker group is (C₁-C_(x)) alkylene-C(═O)—NR—(C₁-C_(y))alkylene, or substituted (C₁-C_(x)) alkylene-C(═O)NR—(C₁-C_(y))substituted alkylene wherein R is hydrogen, alkyl or aryl and x+y=30.Preferably the linker group is (C₂-C₁₅) alkylene-C(═O)—NR—(C₂-C₁₅)alkylene or substituted (C₂-C₁₅) alkylene-C(═O)—NR-substituted (C₂-C₁₅)alkylene. More preferably the linker group is (C₂-C₁₀)alkylene-C(═O)—NR—(C₂-C₁₀) alkylene or substituted (C₂-C₁₀)alkylene-C(═O)—NR-substituted (C₂-C₁₀) alkylene. Most preferably thelinker group is (C₂-05) alkylene-C(═O)—NR—(C₂-C₅) alkylene orsubstituted (C₂-C₅) alkylene-C(═O)—NR— substituted (C₂-C₅) alkylene.Preferably, R is hydrogen.

Preferably, the linker group is orientated so that the NR is on thetriphenylphosphonium end of the —C(═O)NR— group in the chain.

Preferably, the linker group is substituted with a group selected fromalkylcarbonylamino, arylcarbonylamino, alkylaminocarbonyl,arylaminocarbonyl, alkoxycarbonyl and aryloxycarbonyl. More preferably,the linker group is substituted with alkylcarbonylamino at the carbon βto the S atom. Preferably, the linker group is substituted with an alkylor aryl group at the carbon α to the S atom.

In one embodiment the linker group is (C₁-C_(x)) alkylene-O—(C₁-C_(y))alkylene, or substituted (C₁-C_(x)) alkylene-O-substituted (C₁-C_(y))alkylene where x+y=30. Preferably the linker group is (C₂-C₁₅)alkylene-O—(C₂-C₁₅) alkylene or substituted (C₂-C₁₅)alkylene-O-substituted (C₂-C₁₅) alkylene. More preferably the linkergroup is (C₂-C₁₀) alkylene-O—(C₂-C₁₀) alkylene or substituted (C₂-C₁₀)alkylene-O-substituted (C₂-C₁₀) alkylene. Most preferably the linkergroup is (C₂-C₅) alkylene-O—(C₂-C₅) alkylene or substituted (C₂-C₅)alkylene-O-substituted (C₂-C₅) alkylene.

Preferably, the linker group is substituted with a group selected fromalkylcarbonylamino, arylcarbonylamino, alkylaminocarbonyl,arylaminocarbonyl, alkoxycarbonyl and aryloxycarbonyl. More preferably,the linker group is substituted with alkylcarbonylamino at the carbon βto the S atom. Preferably, the linker group is substituted with an alkylor aryl group at the carbon α to the S atom.

In one embodiment the linker group is (C₁-C_(x))alkylene-O—C(O)—(C₁-C_(y)) alkylene, or substituted (C₁-C_(x))alkylene-O—C(O)-substituted (C₁-C_(y)) alkylene where x+y=30. Preferablythe linker group is (C₂-C₁₅) alkylene-O—C(O)—(C₂-C₁₅) alkylene orsubstituted (C₂-C₁₅) alkylene-O—C(O)-substituted (C₂-C₁₅) alkylene. Morepreferably the linker group is (C₂-C₁₀) alkylene-O—C(O)—(C₂-C₁₀)alkylene or substituted (C₂-C₁₀) alkylene-O—C(O)-substituted (C2-C10)alkylene. Most preferably the linker group is (C₂-C₅)alkylene-O—C(O)—(C₂-C₅) alkylene or substituted (C₂-C₅)alkylene-O—C(O)-substituted (C₂-C₅) alkylene.

Preferably, the linker group is substituted with a group selected fromalkylcarbonylamino, arylcarbonylamino, alkylaminocarbonyl,arylaminocarbonyl, alkoxycarbonyl and aryloxycarbonyl. More preferably,the linker group is substituted with alkylcarbonylamino at the carbon βto the S atom. Preferably, the linker group is substituted with an alkylor aryl group at the carbon α to the S atom.

In one embodiment the linker group is (C₁-C_(x)) alkylene-S—(C₁-C_(y))alkylene, or substituted (C₁-C_(x)) alkylene-S-substituted alkylenewherein x+y=30. Preferably the linker group is (C₂-C₁₅)alkylene-S—(C₂-C₁₅) alkylene or substituted (C₂-C₁₅)alkylene-S-substituted (C₂-C₁₅) alkylene. More preferably the linkergroup is (C₂-C₁₀) alkylene-S—(C₂-C₁₀) alkylene or substituted (C₂-C₁₀)alkylene-S-substituted (C₂-C₁₀) alkylene. Most preferably the linkergroup is (C₂-C₅) alkylene-S—(C₂-C₅) alkylene or substituted (C₂-C₅)alkylene-S-substituted (C₂-C₅) alkylene.

Preferably, the linker group is substituted with a group selected fromalkylcarbonylamino, arylcarbonylamino, alkylaminocarbonyl,arylaminocarbonyl, alkoxycarbonyl and aryloxycarbonyl. More preferably,the linker group is substituted with alkylcarbonylamino at the carbon βto the S atom. Preferably, the linker group is substituted with an alkylor aryl group at the carbon α to the S atom.

Linker groups containing aryl and/or heteroatoms may also be substitutedat other positions within the linker. In one embodiment the linker isoptionally substituted with one or more functional groups independentlyselected from the group consisting of hydrogen, alkyl, cycloalkyl,alkenyl, alkynyl, haloalkyl, aryl, aminoalkyl, hydroxyalkyl,alkoxyalkyl, alkylthio, alkylsulfinyl, alkylsulfonyl, carboxyalkyl,cyano, oxy, amino, alkylamino, aminocarbonyl, alkylaminocarbonyl,arylaminocarbonyl, aralkylaminocarbonyl, alkylcarbonyl amino,arylcarbonylamino, aralkylcarbonylamino, alkylcarbonyl,heterocyclocarbonyl, aminosulfonyl, alkylaminosulfonyl, alkylsulfonyl,and heterocyclosulfonyl.

Preferably, the linker group is optionally substituted with one or morefunctional groups independently selected from the group consisting ofalkyl, aryl, alkoxycarbonyl, aryloxycarbonyl, alkylaminocarbonyl,arylaminocarbonyl, alkylcarbonylamino and arylcarbonylamino.

The anion comprises a suitable inorganic or organic anion known in theart and is present when required for overall electrical neutrality.Examples of suitable inorganic anions include, but are not limited to,those derived from hydrochloric, hydrobromic, hydroiodic, sulfuric,sulfurous, nitric, nitrous, phosphoric or phosphorous acid or from analkylsulfonic or an arylsulfonic acid.

Examples of suitable organic anions include, but are not limited to,those derived from the following organic acids: 2-acetyoxybenzoic,acetic, ascorbic, aspartic, benzoic, camphorsulfonic, cinnamic, citric,edetic, ethanedisulfonic, ethanesulfonic, fumaric, glucheptonic,gluconic, glutamic, glycolic, hydroxymaleic, carboxylic, isethionic,lactic, lactobionic, lauric, maleic, malic, methanesulfonic, mucic,oleic, oxalic, palmitic, pamoic, pantothenic, phenylacetic,phenylsulfonic, propionic, pyuvic, salicylic, stearic, succinic,sulfanilic, tartaric, toluenesulfonic, and valeric. All are generallyrecognized as pharmaceutically acceptable salts.

In one embodiment the anion is an anion derived from hydrochloric,hydrobromic, hydroiodic, sulfuric, sulfurous, nitric, nitrous,phosphoric or phosphorous acid, or from an alkylsulfonic or anarylsulfonic acid.

In one embodiment the anion is chloride, bromide, iodide, mostpreferably bromide.

In another embodiment the anion is methanesulfonate.

In another aspect the invention provides a compound of formula (II)

wherein n is from 0 to 27, X is an optional anion and R₁ and R₂ areindependently selected from the group comprising hydrogen, alkyl andaryl.

In one embodiment n is from 0 to 20. Preferably n is from 0 to 10. Morepreferably n is from 0 to 2. Most preferably, n is 1.

In one embodiment R₁ and R₂ are independently selected from the groupcomprising hydrogen, methyl, ethyl, propyl, butyl, pentyl, hexyl andaryl. Preferably, R₁ and R₂ are methyl.

In one embodiment the anion is an inorganic anion derived fromhydrochloric, hydrobromic, hydroiodic, sulfuric, sulfurous, nitric,nitrous, phosphoric or phosphorous acid, or from an alkylsulfonic or anarylsulfonic acid.

In one embodiment the anion is chloride, bromide, iodide ormethanesulfonate. Preferably, the anion is bromide or methanesulfonate.

In the compound of formula (II) the linker group comprises (C₃-C₃₀)alkylene optionally substituted with alkyl or aryl at the carbon α tothe sulfur atom.

In another aspect the invention provides a compound of formula (III)

wherein n is from 0 to 27, X is an optional anion and R₁, R₂, R₃ and R₄are independently selected from the group comprising hydrogen, alkyl andaryl.

In one embodiment n is from 0 to 20. Preferably n is from 0 to 10. Morepreferably n is from 1 to 5. Most preferably, n is 3.

In one embodiment R₁ R₂, R₃ and R₄ are independently selected from thegroup comprising hydrogen, methyl, ethyl, propyl, butyl, pentyl, hexyland aryl. Preferably, R₁ R₂ and R₃ are methyl, and R₄ is hydrogen.

In one embodiment the anion is an inorganic anion derived fromhydrochloric, hydrobromic, hydroiodic, sulfuric, sulfurous, nitric,nitrous, phosphoric or phosphorous acid, or from an alkylsulfonic or anarylsulfonic acid.

In one embodiment the anion is chloride, bromide, iodide ormethanesulfonate. Preferably, the anion is bromide or methanesulfonate.

In the compounds of formula (III) the linker group comprises (C₂-C₂₉)alkylene-NR—C(═O)—C₂ alkylene substituted with alkylcarbonylamino orarylcarbonylamino at the carbon β to the S atom and substituted withalkyl or aryl at the carbon α to the S atom.

In another aspect the invention provides a compound of formula (IV)

wherein n is from 0 to 27, X is an optional anion and R₁, R₂ and R₃ areindependently selected from the group comprising hydrogen, alkyl andaryl.

In one embodiment n is from 0 to 20. Preferably n is from 0 to 10. Morepreferably n is from 1 to 5. Most preferably, n is 3.

In one embodiment R₁ R₂ and R₃ are independently selected from the groupcomprising hydrogen, methyl, ethyl, propyl, butyl, pentyl, hexyl andaryl. Preferably, R₁ R₂ and R₃ are methyl.

In one embodiment the anion is an inorganic anion derived fromhydrochloric, hydrobromic, hydroiodic, sulfuric, sulfurous, nitric,nitrous, phosphoric or phosphorous acid, or from an alkylsulfonic or anarylsulfonic acid.

In one embodiment the anion is chloride, bromide, iodide ormethanesulfonate. Preferably, the anion is bromide or methanesulfonate.

In the compound of formula (IV) the linker group comprises (C₂-C₂₉)alkylene-O—C(═O)—C₂ alkylene substituted with alkylcarbonylamino at thecarbon β to the S atom and substituted with alkyl or aryl at the carbonα to the S atom.

In another aspect the invention provides a compound of formula (V)

wherein n is from 0 to 27, X is an optional anion and R₁, R₂, R₃, R₄ andR₅ are independently selected from the group comprising hydrogen, alkyland aryl.

In one embodiment n is from 0 to 20. Preferably n is from 0 to 10. Morepreferably n is from 1 to 5. Most preferably, n is 3.

In one embodiment R₁ R₂, R₃, R₄ and R₅ are independently selected fromthe group comprising hydrogen, methyl, ethyl, propyl, butyl, pentyl,hexyl and aryl. Preferably, R₁ R₂, R₃, R₄ and R₅ are methyl.

In one embodiment the anion is an inorganic anion derived fromhydrochloric, hydrobromic, hydroiodic, sulfuric, sulfurous, nitric,nitrous, phosphoric or phosphorous acid, or from an alkylsulfonic or anarylsulfonic acid.

In one embodiment the anion is chloride, bromide, iodide ormethanesulfonate. Preferably, the anion is bromide or methanesulfonate.

In the compound of formula (V) the linker group comprises (C₂-C₂₉)alkylene-C(═O)—NR—C₂ alkylene substituted with alkylaminocarbonyl orarylcarbonylamino at the carbon β to the S atom and substituted withalkyl or aryl at the carbon α to the S atom.

In another aspect the invention provides a compound of formula (VI)

wherein n is from 0 to 27, X is an optional anion and R₁, R₂, R₃ and R₄are independently selected from the group comprising hydrogen, alkyl andaryl.

In one embodiment n is from 0 to 20. Preferably n is from 0 to 10. Morepreferably n is from 1 to 5. Most preferably, n is 3.

In one embodiment R₁ R₂, R₃ and R₄ are independently selected from thegroup comprising hydrogen, methyl, ethyl, propyl, butyl, pentyl, hexyland aryl. Preferably, R₁ R₂, R₃ and R₄ are methyl.

In one embodiment the anion is an inorganic anion derived fromhydrochloric, hydrobromic, hydroiodic, sulfuric, sulfurous, nitric,nitrous, phosphoric or phosphorous acid, or from an alkylsulfonic or anarylsulfonic acid.

In one embodiment the anion is chloride, bromide, iodide ormethanesulfonate. Preferably, the anion is bromide or methanesulfonate.

In the compound of formula (IV) the linker group comprises (C₂-C₂₉)alkylene-C(═O)—NR—C₂ alkylene substituted with alkoxycarbonyl oraryloxycarbonyl at the carbon β to the S atom and substituted with alkylor aryl at the carbon α to the S atom.

3. Synthesis of Compounds of the Invention

The compounds of the invention can be made using any convenientsynthetic process. In one embodiment the compounds of the invention canbe synthesised by reacting the convenient intermediate thiol of formula(VII) with nitrous acid under an inert atmosphere as shown in Scheme 1below.

The intermediate thiol (VII) can be prepared in a number of waysdepending on the final compound required. For example, in one embodimentthe intermediate thiol (VII) can be prepared using Scheme 2 as outlinedbelow (Burns, R. J., Smith, R. A. J. and Murphy, M. P. Archives ofBiochemistry and Biophysics, 1995, 322, 60-68).

Using the synthetic schemes provided above, a number of differentcompounds of the invention can be prepared via nitrous acid reactionwith the intermediate thiol of formula (VII). For example, Schemes 3 to5 demonstrate how compounds of the invention incorporating substitutedlinker groups can be made using these synthetic schemes.

Scheme 3 outlines the synthesis of a protected thiol intermediatecompound incorporating an ether functionality in the linker. Basehydrolysis provides a compound of the invention wherein the linker groupis C₄ alkylene-O—C₄ alkylene.

Scheme 4 outlines the synthesis of a protected thiol intermediatecompound incorporating a benzene functionality in the linker. THP istetrahydropyran. Base hydrolysis provides a compound of the inventionwherein the linker group is an aryl-containing alkylene chain, C₆alkylene-aryl-C₄ alkylene.

Scheme 5 outlines the synthesis of a protected thiol intermediatecompound which is dimethyl substituted at the carbon α to the S atom.

Compounds of the invention including —NR—C(═O)—, —C(═O)—NR or —O—C(═O)—groups in the linker can be conveniently prepared using thietaneintermediates. Thietanes are sulfur-containing 4-membered ringcompounds.

Scheme 6 shows the synthesis of compounds of intermediate thiols thatinclude these functionalities in the chain of the linker and aresubstituted with alkylcarboxylamine groups. Reaction of theseintermediates with nitrous acid provides the equivalent thionitrites ofthe invention

Compounds of formula (VIII) are prepared using a triphenylphosphoniumcation attached to a linker group that includes an amine group at theopposite end. Compounds of formula (IX) are prepared using atriphenylphosphonium cation with a hydroxy attached to the end of thelinker group. Generally the remainder of the linker group is an alkylenechain but the linker group of the thiol intermediate can be alteredfurther by using triphenylphosphonium cations linked to the amine orhydroxy groups via other chains, for example, substituted alkylenechains.

When reacted with the thietane compound, the amine or alcohol group atthe end of the linker group opens the thiotane ring to provide the thiolintermediate. If the amine group is a secondary amine (R₄ is alkyl oraryl), the resulting compound of formula (VIII) is N-alkyl or arylsubstituted.

Reaction with the thietane shown above provides a thiol intermediatethat is substituted with an amide group at the position β to the sulfuratom and also substituted at the carbon α to the sulfur atom. The natureof the substitution at R₁, R₂ and R₃ depends on the thietane used. Manythietanes are commercially available, for example,N-(2-ethyl-2-methyl-4-oxo-3-thietanyl) acetamide. Other alkyl and arylgroups can be introduced using thiotanes with different R₁, R₂ and R₃substituents. Such thiotanes can easily be prepared by a person skilledin the art using known techniques.

For example, thietanes for use in synthesising compounds of theinvention can also be prepared by reaction of modified cysteine, asshown in scheme 7 below.

Generally, R₁, R₂ and R₃ will be alkyl or aryl.

However, if a triphenylphosphonium cation linked acid chloride is addedto the reaction in Scheme 7, it is possible to make a thietaneintermediate that incorporates the triphenylphosphonium cation linkedfunctionality in the R₃ position. This compound can then be opened withan amine or alcohol to provide thiol intermediate compounds where theC(═O) is on the triphenylphosphonium end of the —C(═O)NR— group in thelinker chain. Additionally, alcohol opening provides a thiolintermediate where the linker is substituted at the carbon α to thesulfur with an ester group. These reactions are shown in Scheme 8 below.

Compounds of the invention may be prepared according to the generalmethodology described above. It is to be understood that a skilledworker will be able, without undue experimentation and with regard tothat skill and this disclosure, to select appropriate reagents andconditions to modify this methodology to produce compounds of theinvention.

Those of skill in the art will also appreciate that other syntheticroutes may be used to synthesize the compounds of the invention. Inaddition, it will be appreciated by those of skill in the art that, inthe course of preparing the compounds of the invention, the functionalgroups of intermediate compounds may need to be protected by protectinggroups. Functional groups which it is desirable to protect include, butare not limited to hydroxyl, amino and carboxylic acid. Protectinggroups may be added and removed in accordance with techniques that arewell known to those skilled in the art. The use of protecting groups isfully described in “Protective Groups in Organic Chemistry”, edited byJ. W. F McOmie, Plenum Press (1973), and “Protective Groups in OrganicSynthesis”, 2^(nd) Ed, T. W. Greene and P. G. M Wutz, Wiley-Interscience(1991).

4. Uses of Compounds of the Invention

In another aspect the invention provides a pharmaceutical compositioncomprising a therapeutically effective amount of a compound of theinvention in combination with one or more pharmaceutically acceptableexcipients, carriers or diluents.

Suitable excipients, carriers and diluents can be found in standardpharmaceutical texts. See, for example, Handbook for PharmaceuticalAdditives, 2^(nd) Edition (eds. M. Ash and I. Ash), 2001 (SynapseInformation Resources, Inc., Endicott, N.Y., USA) and Remington'sPharmaceutical Science, (ed. A. L. Gennaro) 2000 (Lippincott, Williamsand Wilkins, Philadelphia, USA) which are incorporated herein byreference.

Excipients for use in the compositions of the invention include, but arenot limited to microcrystalline cellulose, sodium citrate, calciumcarbonate, dicalcium phosphate and glycine may be employed along withvarious disintegrants such as starch (and preferably corn, potato ortapioca starch), alginic acid and certain complex silicates, togetherwith granulation binders like polyvinylpyrrolidone, sucrose, gelatin andacacia. Additionally, lubricating agents such as magnesium stearate,sodium lauryl sulfate and talc are often very useful for tablettingpurposes. Solid compositions of a similar type may also be employed asfillers in gelatin capsules; preferred materials in this connection alsoinclude lactose or milk sugar as well as high molecular weightpolyethylene glycols. When aqueous suspensions and/or elixirs aredesired for oral administration, the active ingredient may be combinedwith various sweetening or flavouring agents, colouring matter or dyes,and, if so desired, emulsifying and/or suspending agents as well,together with such diluents as water, ethanol, propylene glycol,glycerin and various like combinations thereof.

Pharmaceutical carriers include solid diluents or fillers, sterileaqueous media and various non-toxic organic solvents, and the like.

NO has been shown to be a reversible inhibitor of the mitochondrialrespiratory chain by competing with oxygen at cytochrome oxidase.Selective delivery of NO to mitochondria by the compounds of theinvention enables the respiration rate to be reversibly modulated withinpatients. Consequently, the compounds of the invention may be useful inthe treatment of conditions that are affected by the inhibition ofcytochrome oxidase.

The compounds of the invention do not act like other cytochrome oxidaseinhibitors such as cyanide, because they compete with oxygen and therebyonly affect respiration when the oxygen concentration is low. Thiseffect is reversed once the oxygen concentration increases. Accordingly,the compounds of the invention can be considered modulators of theeffective K_(m) of cytochrome oxidase.

Selective, reversible inhibition of mitochondria by the compounds of theinvention can be used to treat ischaemia-reperfusion injury bypreventing hypoxic tissue from becoming entirely anaerobic. Ischaemia isthe condition suffered by tissues and organs when deprived of bloodflow. It is mostly the result of inadequate nutrient and oxygen supply.Reperfusion injury refers to the tissue damage inflicted when blood flowis restored after an ischemic period of more than about ten minutes.Ischaemia and reperfusion can cause serious brain damage in stroke orcardiac arrest.

Compounds of the invention have been shown to protect against heartischemia and reperfusion injury (see Examples 14 and 15).

Example 14 shows that compounds of the invention protected againstcardiac UR injury when the compound was administered during thereperfusion phase in an ex vivo Langendorff heart UR injury model.Example 15 demonstrates the efficacy of the compounds in a wellestablished murine model of in vivo UR injury by subjecting mice toocclusion of the left anterior descending coronary artery (LAD) for 30min followed by reperfusion and recovery over 24 h.

Following the recovery period, analysis of the heart showed significantdamage, as indicated by the area of infarcted tissue (FIG. 19A, whitetissue), and by comparison of the infarcted zone to the area of tissueat risk (AR) (FIG. 19B). In contrast, injection of a compound of theinvention into the left ventricle 5 min prior to reperfusionsignificantly decreased heart damage (FIGS. 19, A and B). Controlinjections with MitoNAP, the MitoSNAP precursor that lacks theS-nitrosothiol, were not protective (FIG. 19). These results confirm ourinitial findings of protection against cardiac I/R injury by compoundsof the invention and are consistent with a protective role formitochondrial protein S-nitrosation during cardiac I/R injury.

These experiments indicate that compounds of the invention provide aprotective effect when administered during reperfusion. This provides asignificant advantage as most cardioprotective agents must beadministered prior to ischemia and reperfusion injury. Consequently, thecompounds of the invention may be useful in the treatment of myocardialinfarction and stroke to prevent ischaemia-reperfusion injury.

During general surgery the blood supply is often halted to key organs ortissues which can result in damage. The compounds of the invention maybe used pre-surgically to minimise damage to organs and tissues causedby reperfusion, for example, during heart surgery.

Compounds of the invention may also be useful for preserving organsduring organ transplant procedures.

The compounds of the invention have activity as angiogenesis inhibitorsto prevent tumour growth and metastasis. Tumors above a certain sizehave to attract blood vessels to them in order to grow and blockingangiogenesis has proven to be a successful approach to targetingcancers. The signaling pathway for angiogenesis involves sensing thatoxygen concentration is lowered due to poor blood supply. This is doneby the oxygen dependent degradation of hypoxia inducible factor 1-α(HIF-1α). Under hypoxia, HIF-1α is no longer degraded and acts as atranscription factor inducing a range of processes includingangiogenesis. It has been shown that exposure to NO can facilitateHIF-1α degradation by partially inhibiting respiration and therebyincreasing the local oxygen concentration (Hagen, T., Taylor, C. T.,Lam, F., Moncada, S. Science, 2003, 302, 1975-1978).

The compounds of the invention act as angiogenesis inhibitors byinhibiting cytochrome oxidase thereby increasing the local oxygenconcentration in hypoxic tumours. This destabilises the transcriptionfactor hypoxia inducible factor 1-α (HIF-1α) thereby blockingangiogenesis to the tumour.

Thus, the selective production of NO within mitochondria by thecompounds of the invention may act to switch off angiogenesis in tumorswithout affecting respiration in fully aerobic tissues. This will resultin a slowing of tumour development.

The compounds of the invention have also shown to relax the smoothmuscle in blood vessel walls thereby acting as vasodilators (see Example13). Consequently, they may have application in the treatment of anginaand high blood pressure.

The compounds of the invention can also be used in conjunction withother therapies such as anti cancer agents and other pharmaceuticals.

The conjugates or pharmaceutical compositions of the invention can beadministered via oral, parenteral (such as subcutaneous, intravenous,intramuscular, intracisternal and infusion techniques), rectal,intranasal or topical routes. In general, these compounds areadministered in doses ranging from about 0.5 to about 500 mg per day, insingle or divided doses (such as from 1 to 4 doses per day).

It will be appreciated by one of skill in the art that appropriatedosages of the compounds, and compositions comprising the compounds, canvary from patient to patient. Determining the optimal dosage willgenerally involve the balancing of the level of therapeutic benefitagainst any risk or deleterious side effects. The selected dosage levelwill depend on a variety of factors including, but not limited to, theactivity of the particular compound, the route of administration, thetime of administration, the rate of excretion of the compound, theduration of the treatment, other drugs, compounds, and/or materials usedin combination, the severity of the condition and the general health andprior medical history of the patient.

The active compounds of this invention can be administered alone or incombination with pharmaceutically acceptable excipients, carriers ordiluents by any of the routes previously indicated, and suchadministration may be carried out in single or multiple doses.

More particularly, the novel therapeutic agents of this invention can beadministered in a wide variety of different dosage forms, they may becombined with various pharmaceutically acceptable inert carriers in theform of tablets, capsules, lozenges, troches, hard candies, powders,sprays, creams, salves, suppositories, jellies, gels, pastes, lotions,ointments, aqueous suspensions injectable solutions, elixirs, syrups,and the like. Such carriers include solid diluents or fillers, sterileaqueous media and various non-toxic organic solvents, and the like.Injectable forms are preferred.

Moreover, oral pharmaceutical compositions can be suitably sweetenedand/or flavoured. In general, the conjugates of the invention arepresent in such dosage forms at concentration levels ranging from about1.0% to about 70% by weight, preferably about 1.0% to about 70% byweight.

For oral use in treating the various disorders and conditions referredto above, the conjugates can be administered, for example, in the formof tablets or capsules, or as an aqueous solution or suspension. Tabletsmay contain various excipients such as described above.

For parenteral administration, solutions of a compound of the presentinvention in oils such as sesame or peanut oil, or an aqueous propyleneglycol may be employed. The aqueous solutions should be suitablybuffered (preferably pH less than 8) if necessary and the liquid diluentfirst rendered isotonic. These aqueous solutions are suitable forintravenous injection purposes. The oily solutions are suitable forintra-muscular and subcutaneous injection purposes. The preparation ofall these solutions under sterile conditions is readily accomplished bystandard pharmaceutical techniques well known to those skilled in theart.

For intramuscular, parenteral and intravenous use, sterile solutions ofthe active ingredient can be prepared, and the pH of the solutionsshould be suitably adjusted and buffered. For intravenous use, the totalconcentration of solutes should be controlled to render the preparationisotonic.

Various aspects of the invention will now be illustrated in non-limitingways by reference to the following examples.

Methods Nitrite, Nitric Oxide and S-Nitrosothiol Measurements.

Nitrite was analyzed by the Griess assay (Molecular Probes). Nitricoxide was measured using an NO. electrode (World Precision InstrumentsLtd, UK) connected to an Apollo 4000 Free Radical Analyser. Theelectrode was inserted into a stirred, sealed 3 ml chamber with a Clarktype O₂ electrode (Rank Brothers, UK) built into its base and wasthermostatted at 37° C. The NO. electrode was calibrated by adding SNAPto argon-purged, saturated CuCl. OxyHb was prepared by reduction ofbovine methemoglobin with sodium dithionite. Protein S-nitrosothiolswere measured using a chemiluminescence assay in an EcoMedics CLD 88Exhalyzer (Annex, Herts, UK) (Feelisch, M. et al. Concomitant S-, N-,and heme-nitros(yl)ation in biological tissues and fluids: implicationsfor the fate of NO in vivo. FASEB. J. 16, 1775-85 (2002)).

Cell Culture.

Cells were grown in medium supplemented with 10% fetal calf serum (FCS),penicillin (100 U·ml⁻¹) and streptomycin (100 μg·ml⁻¹) at 37° C. in ahumidified atmosphere of 95% air/5% CO₂. Jurkat cells were cultured inRoswell park memorial institute (RPMI) 1640 medium supplemented with 2mM Glutamax and 25 mM Hepes. HeLa cells were grown in minimum essentialeagle medium (MEM) containing 2 mM glutamine and non-essential aminoacids and were grown to 100% confluence prior to use. C2C12 cells weregrown in Dulbecco's modified Eagle's medium (DMEM) and were seeded at˜25,000-30,000 cells/cm² and grown overnight prior to experiments. Amitochondria-enriched fraction from C2C12 cells was prepared from C2C12cells, as described below.

Mitochondrial Preparations and Incubations.

Rat liver mitochondria were prepared in 250 mM sucrose, 5 mM Tris-HCl, 1mM ethylene glycol-bis(β-aminoethyl ether)-N,N,N′,N′-tetraacetic acid(EGTA), pH 7.4. Rat heart mitochondria were prepared in 250 mM sucrose,5 mM Tris-HCl, 1 mM EGTA, 0.1% bovine serum albumin (BSA), pH 7.4.Mitochondrial membranes were prepared from bovine heart mitochondria asdescribed (Beer, S. M. et al. Glutaredoxin 2 Catalyzes the reversibleoxidation and glutathionylation of mitochondrial membrane thiolproteins: implications for mitochondrial redox regulation andantioxidant defense. J. Biol. Chem. 279, 47939-51 (2004)). Proteinconcentration was determined by the biuret assay using BSA as a standardor by the bicinchoninic acid assay.

Mitochondrial incubations were usually in KCl buffer (120 mM KCl, 10 mMHEPES, 1 mM EGTA, 100 μM N,N-bis(2-bis[carboxymethyl]aminoethyl) glycine(DTPA) and 10 μM neocuproine, pH 7.2) with 10 mM succinate and 4 μg/mlrotenone in the dark at 37° C., unless stated otherwise. An electrodeselective for the TPP moiety of MitoSNAP and MitoNAP was made and usedas described previously (Asin-Cayuela, J., Manas, A. R., James, A. M.,Smith, R. A. & Murphy, M. P. Fine-tuning the hydrophobicity of amitochondria-targeted antioxidant. FEBS Letts. 571, 9-16 (2004)).Respiration rates were measured in a Clark type O₂ electrode (RankBrothers, UK). To measure GSH and GSSG, mitochondria (1 mg protein/ml)were incubated with 0-10 μM MitoSNO1 or MitoNAP for 10 min, pelleted bycentrifugation and the GSH and GSSG contents assessed by the recyclingassay (Scarlett, J. L., Packer, M. A., Porteous, C. M. & Murphy, M. P.Alterations to glutathione and nicotinamide nucleotides during themitochondrial permeability transition induced by peroxynitrite. Biochem.Pharmacol. 52, 1047-1055 (1996)). The measurement of exposedmitochondrial protein thiols is described below.

Aorta Relaxation Measurements

Sprague-Dawley rats (male 250-350 g) were anesthetized byintraperitoneal injection of ketamine and xylazine (100 and 16 mg/kg,respectively) and thoracic aortas were excized and placed inKrebs-Henseleit buffer (pH 7.3) at 37° C. Aortic segments were cut intoseven to eight ˜3 mm-long rings, mounted in baths containing 15 mlKrebs-Henseleit buffer equilibrated with 21% O₂, 5% CO₂ at 37° C. andisometric vessel tension was established using a vessel bioassay system(Radnoti, Monrovia Calif.). Indomethacin (5 μM) treated aorta waspre-contracted with phenylephrine (100 nM) andL-N^(G)-monomethylarginine (100 μM) and then treated with testcompounds. For decomposition MitoSNAP and SNAP were exposed to light for2 h, resulting in >90% SNO degradation. All vasodilatation studies wereperformed under subdued light settings. The concentrations of MitoSNAPand SNAP were calculated using s=950 M⁻¹·cm⁻¹ and 1168 M⁻¹·cm⁻¹ at340-344 nm respectively in PBS supplemented with 10 μM DTPA.

Heart Ischemia-Reperfusion Injury (Ex Vivo)

Male C57BL6 mice (30-35 g) were obtained from Harlan (Indianapolis,Ind.) and were maintained with food and water available ad libitum. Allprocedures were carried out in accordance with the Guide for the Careand Use of Laboratory Animals (NIH publication #85-23, 1996). Isolatedmouse hearts were retrograde reperfused in Langendorff mode underconstant flow (4 ml/min), essentially as described for rat hearts(Nadtochiy, S. M., Tompkins, A. J. & Brookes, P. S. Different mechanismsof mitochondrial proton leak in ischaemia/reperfusion injury andpreconditioning: implications for pathology and cardioprotection.Biochem. J. 395, 611-8 (2006)).

Heart Ischemia-Reperfusion Injury (In Vivo)

Male C57BL/6 mice (˜25 g) were purchased from the Jackson Laboratory andhandled in accordance with the procedures of the University of RochesterCommittee on Animal Research. All surgical procedures were sterile andperformed as described previously. Briefly, analgesics (acetaminophen0.75 mg/ml in drinking water) were administered 24 hr before, and duringthe perioperative period. Acetaminophen does not impact on I/R injury.

Measurement of S-Nitrosothiols

After incubation the mitochondrial, or mitochondrial membrane,suspensions were supplemented with 10 mM NEM and 1 min later waspelleted by centrifugation (10,000×g for 5 min) and resuspended 1 ml KClbuffer supplemented with 10 mM NEM and pelleted once more. The pelletwas then resuspended in 1 ml 25 mM HEPES pH 7.2, 100 μM DTPA, 10 μMneocuproine and 10 mM NEM, snap frozen on dry ice/ethanol, freeze/thawed(×3) and stored at −20° C. until analysis. For measurements on cells,the medium was removed then the cell layer was washed in PBS/10 mM NEM,then scraped into 1 ml PBS/NEM and snap frozen on dry ice/ethanol,freeze/thawed (×3) and stored at −20° C. until analysis. Samples(225-450 μl) were thawed rapidly just prior to analysis and made up to afinal volume of 250-500 μl containing 0.1 M HCl and 0.5%sulphanilamide±0.2% HgCl₂ and incubated in the dark for 30 min. Thenduplicate 100-500 μl samples were injected into 20 ml of an acidic I⁻/I₂solution (33 mM KI, 14 mM I₂ in 38% (v/v) acetic acid) through whichbubbled helium that carried the NO produced through a 1 M NaOH trap tothe analyser where it is mixed with ozone and the chemiluminescencemeasured. The peak area is compared to a standard curve generated fromNaNO₂ standards. As HgCl₂ selectively degrades SNOs, the SNO content wasthe difference between the samples with and without HgCl₂. A controlexperiment was carried out in which mitochondria were incubated with 5μM MitoSNAP for 5 min when the mitochondrial suspension was supplementedwith 10 mM NEM and 1 min later was pelleted by centrifugation (10,000×gfor 5 min) as above. The pellet was then resuspended in 1 ml 5%sulfosalicylic acid to fully lyse mitochondria and precipitate proteinwhich was pelleted and washed again in 1 ml 5% sulfosalicylic acid, whenthe protein pellet was resuspended in 1 ml 25 mM HEPES pH 7.2, 100 μMDTPA, 10 μM neocuproine and 10 mM NEM KCl buffer supplemented with 10 mMNEM and assessed for SNOs as above. This gave a significant amount ofS-nitrosated proteins (359±89 pmol SNO/mg protein, mean±SEM of 4),confirming that the SNOs measured in mitochondria are due toS-nitrosated proteins and not to carry over of MitoSNAP trapped withinmitochondria into the SNO assay.

Measurement of Exposed Protein Thiols

To measure exposed mitochondrial protein thiols, mitochondria (1 mgprotein/ml) were incubated in 1 ml KCl Buffer for 5 min, pelleted bycentrifugation and the pellet resuspended in 75 μl 250 mM sucrose, 5 mMHEPES, 1 mM EGTA, pH 7.4 supplemented with 0.1% dodecylmaltoside. Smallmolecules were removed by centrifugation through MicroBioSpin Columns(cut off=6 kDa), the eluate was clarified by centrifugation (2 min at10,000×g) and protein thiols measured in triplicate by mixing 10 μlsample or GSH standard with 160 μl of 200 μM dithionitrobenzoic acid(DTNB) in 80 mM NaP_(i), 1 mM EDTA, pH 8 in a 96 well plate andabsorbance at 412 nm was measured after 30 min at room temperature andthe thiol content determined from the GSH standard curve. The proteinconcentration was measured in parallel by the bicinchonininc assay usingBSA as a standard.

Preparation of a Mitochondria-Enriched Fraction from C2C12 Cells

C2C12 cells were seeded (˜2×10⁶ cells per 14 cm² dish) and grown with 25ml medium/dish for 46 h giving ˜7×10⁶ cells per 14 cm² dish. The mediumwas removed and replaced with 10 ml medium. To this DMSO or 20 μM FCCPwas added and incubated for 5 min at 37° C. in the dark. After this 5 μMMitoSNAP or SNAP or ethanol was added and incubated for a further 5 minin the dark. The supernatant was aspirated and the cell sheet was washedfirst in PBS/10 mM NEM then in buffer A (100 mM sucrose, 1 mM EGTA, 20mm MOPS, pH 7.4, 10 mM NEM, 100 μM DTPA, 10 μM neocuproine) while onice. Cells were scraped into 1 ml SEM buffer and the plate washed in 4ml of the same buffer. The cell suspension was centrifuged (200×g for 5min at 4° C.) and the pellet resuspended in 500 μl buffer B (=buffer Asupplemented with 0.1 mg/ml digitonin and 10 mM triethanolamine) andincubated on ice for 3 min then 2.5 vols of buffer A was added. This washomogenised 20× using a tight fitting Dounce, then spun 1 min at 1,000×gat RT. The supernatant was kept and the pellet was washed again inbuffer A again the supernatant was retained. These were combined andspun at 10,000×g for 5 min at 4° C. The supernatant (cytosol fraction)was snap frozen and the pellets combined in 500 μl 25 mM HEPES pH 7.2,100 μM DTPA, 10 μM neocuproine and 10 mM NEM and then snap frozen.Samples were freeze thawed 3× and aliquots prepared for S-nitrosothiolanalysis.

Electrophoresis and Visualisation of S-Nitrosated Proteins

Isolated rat liver or rat heart mitochondria (4 mg protein/nil) weresuspended in KCl buffer supplemented with 10 mM succinate and 8 μg/mlrotenone and were incubated with no additions, 10 μM MitoSNAP or 500 μMdiamide at 37° C. for 5 min with occasional mixing. Mitochondria werethen pelleted by centrifugation and resuspended in a blocking buffercontaining 250 mM HEPES, pH 7.7, 1 mM EDTA, 1 mM DTPA, 10 μMneocuproine, 1% SDS, and 50 mM NEM. This blocking reaction was carriedout for 5 min at 40° C. The reaction mixture was then passed three timesthrough MicroBioSpin Columns (cut off=6 kDa: BioRad, #732-6222) toremove NEM. Cy3 maleimide (200 μM; Amersham product number PA 13131), 1mM ascorbate, and 10 μM CuSO₄ were added and the mixture gently vortexedand then incubated for 30 min at 37° C. The protein (10 μg) was thenseparated on a 12.5% SDS PAGE gel. After electrophoresis, the gel imagewas acquired with a Typhoon 9410 variable mode imager.

To assess S-nitrosation, bovine heart mitochondrial membranes (250μg/ml) were incubated in KCl buffer±75 μM MitoSNAP at 37° C. for 5 minwith occasional mixing. Then 10 mM NEM was added and incubated for 5 minat 40° C. The membranes were then pelleted by centrifugation and washedthree times in 1 ml PBS buffer. The pellet was then resuspended in 100μl PBS supplemented with 200 μM Cy3 maleimide, 1 mM ascorbate, and 10 μMCuSO₄ and incubated for 30 min at 37° C. When testing the reversibilityof MitoSNAP S-nitrosation with GSH, membranes were treated with 1 mM GSHfor 15 minutes prior to the blocking step. BN-PAGE samples were preparedand separated on a 5-12% gradient acrylamide gel. Followingelectrophoresis, the gel image was acquired with a Typhoon 9410 variablemode imager scanning for Cy3 fluorescence at 532 nm. Proteins were thentransferred to a nitrocellulose membrane and probed with rabbit antiseraagainst the bovine 24 kDa Complex I subunit (a gift from Prof John E.Walker), a mouse monoclonal against bovine complex III, core subunit 2(from Molecular Probes/Invitrogen, A-11143) or a mouse monoclonalagainst bovine Complex V β subunit (from Molecular Probes/Invitrogen,A-21351). These were then probed with secondary antibody-horseradishperoxidase conjugates and visualised by enhanced chemiluminescence(Amersham Biosciences).

HPLC Analysis

MitoSNAP, MitoNAP and their derivatives were separated by reverse phaseHPLC (RP-HPLC) on a C18 column (Jupiter 300 Å, Phenomenex) with aWidepore C18 guard column (Phenomenex), using a Gilson 321 pump. Sampleswere injected manually through a 0.22 μm PVDF filter (Millipore) into a2 ml sample loop and then a gradient of A (0.1% TFA) and B (100% ACN,0.1% TFA) was run at 1 ml·min⁻¹ (time in min, % B): 0-5, 5%; 5-10,5-40%; 10-25, 40-80%; 25-27.5, 80-100%; 27.5-30, 100%; 30-32.5, 100-5%.Peaks were detected at 220 nm using a Gilson UV/VIS 151spectrophotometer. MitoNAP and MitoSNAP standards were used to identifypeak elution times.

Mass Spectrometry

MitoSNAP decay products were identified by electrospray massspectrometry (ESMS) using a Quattro triple quadrupole mass spectrometer.RP-HPLC peaks were collected in 50-60% ACN, 0.1% TFA, transferred tosample vials and compared with 1 μM MitoNAP or MitoSNAP standards in 50%ACN, 0.1% TFA. An isocratic solvent (50% ACN) was infused continuouslyat 20 μl/min into a Quattro triple quad mass spectrometer and anautomated sample injector was used to infuse samples (30 μl) into thesolvent flow. Spectra over 400-700 m/z were accumulated continuouslyover 5 min. A MitoNAP standard used for internal calibration gavem/z=521.5 (expect 521.23).

Cell Hypoxia Experiments

HeLa cells were seeded and grown to 100% confluence with 15 mlmedium/dish on 165 cm² dishes. The medium was aspirated and replacedwith 15 ml fresh medium. The dishes were then placed in a humidifiedhypoxia workstation (Coy Laboratories) at 1% O₂ concentration with 5%CO₂ and the balance N₂ for 60 min. The indicated concentration ofMitoNAP, MitoSNAP and myxothiazol was added to individual dishes whichwere incubated in the dark for a further 30 min. Extracellular PO₂measurements were taken by fluorescence quenching oximetry(Oxylite-2000; Oxford Optronix). Statistical analysis was performedusing SPSS 12.0.1.

Example 1

A compound of formula (X) was prepared as described in Schemes 1 and 2above.

All solutions were sparged with argon for 60 sec before use.4-Thiobutyltriphenylphosphonium bromide (25.4 mg, 56.8 μmol) wasdissolved in ethanol (0.300 mL) and the solution was flushed with argonand cooled on ice in the dark, for 10 min. Aqueous hydrochloric acid(0.130 mL, 80.6 μmol) was added and the reaction vessel swirled in theice and then 1 min later an aqueous solution of sodium nitrite (0.120mL, 92.3 μmol) was added and the mixture went bright pink. Afterstanding 30 min on ice the product was extracted with chloroform (1 mL).The organic solution was washed to 10% aqueous sodium bromide (1 mL),dried over anhydrous MgSO₄ (50 mg) and kept in the dark at −20° C. untilrequired. The solvents were removed in vacuo to give red residue of thecompound of formula (X). ³¹P NMR (chloroform-d₁) δ 1.867 compared withethyltriphenylphosphonium bromide reference (δ=0 ppm).

The compound, herein referred to as MitoSNO, was found to have a highresolution mass spectrum of 380.1238 (calc. for C₂₂H₂₃PSNO is 380.1).The compound was also found to have an extinction coefficient of 16 Lmol⁻¹ cm⁻¹ (at λ=549 nm).

Example 2

An NO-selective electrode was used to demonstrate NO release fromMitoSNO. 50 μM MitoSNO was incubated±10 mM GSH in KPi buffer, pH 8, at37° C. for 30 min, then oxyhaemoglobin (5 μM) was added at the end ofthe incubation to degrade the free NO to nitrate (NO₃ ⁻) and return theelectrode response to the baseline. This showed that MitoSNO releases NOboth in the presence and absence of GSH as can be seen in FIG. 2.

Example 3

Rat liver mitochondria (1 mg protein/nil) in KCl buffer was incubated at37° C. with 5 μM MitoSNO. 1 μM additions of MitoSNO were madesequentially before addition of 10 mM succinate. 200 nM FCCP was thenadded to uncouple the mitochondria. The concentrations of O₂ and MitoSNOin solution were measured simultaneously using a Clark-type O₂ electrodein combination with an ion-selective electrode for triphenylphosphoniumcation (TPP⁺). MitoSNO was found to be taken up by isolated mitochondriaand inhibited respiration by NO release. This can be seen in FIG. 3.

When succinate was added, the mitochondria started respiring and set upa ΔΨ, which caused a decrease in the MitoSNO concentration, as detectedby the ion-selective electrode (FIG. 3). When the mitochondria wereuncoupled by FCCP, a concomitant increase in the concentration ofMitoSNO, or its derivatives, in the medium was detected by theion-selective electrode. The amount of MitoSNO taken up into themitochondria from the trace in FIG. 3 corresponds to ˜2.5 μM of theinitial external concentration of 5 μM. Therefore 7.5 nmol MitoSNO havebeen taken up into 3 mg protein, and as the mitochondrial volume is ˜0.5μl/mg protein (Brown, G. C. and Brand, M. D. Biochem J., 1985, 225,399-405), the concentration of MitoSNO within mitochondria is ˜5 mM.This represents a 2000 fold concentration relative to the 2.5 μM presentin the external medium, and is consistent with a Nernstian uptake ofMitoSNO.

Example 4

To show that MitoSNO released NO within energized mitochondria andinhibited mitochondrial respiration, 5 μM MitoSNO was incubated with alow concentration of rat liver mitochondria (0.5 mg protein/ml) in KClbuffer at 37° C., to enable a longer incubation period in order forsufficient NO release from MitoSNO to affect respiration. 1 μM additionsof MitoSNO were made sequentially before addition of 10 mM succinate.The mitochondria were then allowed to respire until oxygen consumptionreached a plateau. At low oxygen concentrations, inhibition ofrespiration and a concomitant gradual redistribution of MitoSNO, or itsderived TPP cations, to the extramitochondrial solution throughdecreased ΔΨ were observed (FIG. 4).

Example 5

A compound of formula (XI) was prepared as described in Scheme 6 above.

A solution of 5-aminopentyltriphenylphosphonium bromide hydrogen bromide(McAllister, P. R.; Dotson, M. J.; Grim, S. O.; Hillman, G. R. Journalof Medicinal Chemistry 1980, 23, pp 862-5) (467 mg, 0.917 mmol) andtriethylamine (136 μL, 0.920 mmol) in dichloromethane (10 mL) wasstirred for 5 min after which time a solution ofN-(2,2-Dimethyl-4-oxo-thietan-3-yl)-acetamide (Moynihan, H. A., Roberts,S. M. Journal of the Chemical Society, Perkin Transactions 1: Organicand Bio-Organic Chemistry (1972-1999) 1994, pp 797-805) (157 mg, 0.917mmol) in dichloromethane (20 mL) was added in one aliquot and thereaction mixture was stirred for a further 4 h. After the mixture hadbeen washed with a saturated solution of sodium methanesulfonate (3×20mL), the organic fraction was collected, dried (MgSO₄), filtered and thesolvents removed in vacuo to give pale yellow oil. The oil was dissolvedin minimal dichloromethane (2 mL) and then excess diethyl ether (70 mL)was added. After the resultant precipitate had settled, the solventswere decanted and the residue was dried in vacuo (0.1 mmHg) for 2 h togive a thiol as a cream powder (374 mg, 0.607 mmol, 66%). HRPI ESMS (CE)calculated for C₃₀H₃₈N₂O₂PS⁺: 521.2386. found: 521.2397. Analysiscalculated for C₃₁H₄₁N₂O₅PS₂: C, 60.4; H, 6.7; N, 4.5; S, 10.4%. foundC, 59.8; H, 6.9; N, 4.8; S, 10.2%. UV-vis: 2.7 mg in 10 mL ethanol, ε₂₆₈2660 Lmol⁻¹ cm⁻¹, ε₂₇₅ 2292 Lmol⁻¹ cm⁻¹. ¹H NMR (chloroform-d₁) δ 7.94(1H, t, J=5 Hz, CH₂—NH), 7.82-7.62 (16H, m, ArH, CH—NH), 4.67 (1H, d,J=10 Hz, CH), 3.58-3.47 (2H, m, CH₂—P⁺), 3.42-3.27 (1H, m, CHH—NH),3.27-3.14 (1H, m, CHH—NH), 2.76 (3H, s, SO₃—CH₃), 2.69 (1H, s, SH), 2.13(3H, s, CO—CH₃), 1.55 (3H, s, CH₃), 1.43 (3H, s, CH₃), 1.80-1.52 (6H, m,CH₂) ppm. ¹³C NMR (chloroform-d₁, 125 MHz) δ170.7, (CO), 170.3, (CO),135.1 (d, J=3 Hz, para-Ph), 133.6 (d, J=10 Hz, meta-Ph), 130.6 (d, J=13Hz, ortho-Ph), 118.5 (d, J=86 Hz, ipso-Ph), 62.3 (CH), 46.5 (C), 39.8(CH₃—SO₃ ⁻), 38.2 (CH₂—NH), 30.7 (CH₃), 30.6, (CH₃), 27.6 (CH₂—CH₂—NH),27.1 (d, J=17 Hz, CH₂—CH₂—P⁺), 23.4 (CH₃), 22.0 (d, J=53 Hz, CH₂—P⁺),21.9 (d, J=5 Hz, CH₂—CH₂—CH₂—P⁺) ppm. ³¹P NMR (chloroform-d₁) δ 25.4ppm. HPLC: mobile phase 50% acetonitrile, 50% water (0.1%trifluoroacetic acid); Prodigy 5μ OD53 11 A 250×4 mm, detection 275 nm,flow rate 1.00 mL/min; retention time 4.76 min, one peak.

A sample of the thiol (50 mg, 0.081 mmol) was dissolved in ethanol (2mL) flushed with argon and stored in the dark. Methane sulfonic acidstock (0.576 mL, 357 mmol) was added and the reaction vessel swirled for1 min then aqueous sodium nitrite (0.420 mL, 323 mmol) was added and thereaction vessel was swirled again. The reaction mixture was held in thedark for 2 hr at room temperature. Dichloromethane (2 mL) was then addedand the mixture was gently shaken for 10 sec. Distilled water (2 mL) wasadded and the reaction mixture was left to stand for 20 sec and thelower dichloromethane layer was removed and dried over anhydrous MgSO₄(˜200 mg). The dichloromethane solution was then filtered and evaporated(30° C., 2 mmHg) The green glassy residue was dissolved in minimaldichloromethane (0.5 mL) and added to diethyl ether (40 mL). Theresulting pale green precipitate was isolated by decantation and dryingunder vacuum (2 mmHg) and in the dark to yield the product (V) (40 mg,78%). HPLC. 50% acetonitrile, 50% water (0.1% trifluoroacetic acid);Prodigy 5μ OD53 11 A 250×4 mm, detection 275 nm, flow rate 1.00 mL/min;retention time 8.17 min, one peak. UV-vis: ethanol λ_(max)=268 nm (s3191 Lmol⁻¹ cm⁻¹), λ=275 nm (ε 2730 Lmol^(−l) cm⁻¹), λ=344 nm (s 601Lmol⁻¹ cm⁻¹). HRPI ESMS (CE) (CE 6V, QIE 3V) calculated forC₃₀H₃₇N₃O₃PS: 550.229. found: 550.226. ¹H NMR δ (methanol-d₄): 8.38 (1H,bt, CH₂—NH), 7.73-7.92 (15H, m, Ar—H), 5.30 (1H, d, J=10 Hz, CH),3.47-3.35 (2H, m, P⁺—CH₂), 3.22-3.07 (2H, m, CH₂—NH), 2.68 (3H, s,CH₃—SO₃ ⁻), 2.03 (3H, s, CH₃), 1.99 (3H, s, CH₃), 1.96 (3H, s, CH₃),1.88-1.40 (6H, m, CH₂) ppm. ¹³C NMR δ (methanol-d₄, 125 MHz): 173.1(CO), 170.8 (CO), 136.3 (d, J=3 Hz, para-Ph), 134.8 (d, J=10 Hz,meta-Ph), 131.5 (d, J=13 Hz, ortho-Ph), 119.9 (d, J=86 Hz, ipso-Ph),61.7 (CH), 59.2 (C), 39.8 (CH₂—NH), 39.5 (CH₃—SO₃ ⁻), 29.3 (CH₂—CH₂—NH),28.7 (d, J=17 Hz, CH₂—CH₂—P⁺), 27.1, (CH₃), 25.9, (CH₃), 23.0 (d, J=9Hz, CH₂—CH₂—CH₂—P⁺), 22.7 (d, J=56 Hz, CH₂—P⁺), 22.4 (CH₃ ⁾ ppm. ³¹P NMRδ (methanol-d₄) 24.9 ppm. This compound,[5-(2-acetylamino-3-methyl-3-nitrosothio-butyrylamino)-pentyl]-triphenylphosphoniummethanesulfonate, is herein referred to as MitoSNAP.

Example 6

To show that MitoSNAP could spontaneously release NO,S-nitroso-N-acetyl-DL-penicillamine (SNAP) (50 μM) or MitoSNAP (50 μM)was incubated at 37° C. in opaque tubes in KCl buffer (120 mM KCl, 10 mMHEPES, 1 mM Ethylene-bis(oxyethylenenitrilo)tetraacetic acid (EGTA))with 100 μm Diethylenetriaminepentaacetic acid (DTPA) and Neocuproine(10 μM) that had been treated with Chelex (1%). Samples were takenhourly and snap frozen on dry ice. Samples were thawed and assayed fornitrite concentration using the Griess assay. Data are means oftriplicate determinations of a single experiment that was repeated 3×with similar results (FIG. 5).

Example 7

To show that MitoSNAP could release NO, nitrogen purged KCl buffer (asabove) at 37° C. was incubated in the stirred chamber of a nitric oxideelectrode (WPI Ltd). MitoSNAP (100 μM) was added and the formation of NOmeasured by the NO electrode. Where indicated oxyhaemoglobin (˜5 μM) wasadded to degrade all the accumulated NO to nitrate.

Example 8

To see the interaction of MitoSNAP with mitochondria, rat livermitochondria (1 mg protein/ml) were incubated KCl buffer (as above)supplemented with rotenone (4 μg/ml)+1-FCCP (0.5 μM) at 37° C. and theoxygen and NO concentrations were measured using appropriate electrodes.For the incubation without FCCP, MitoSNAP (50 μM) was added followed bysuccinate (10 mM) which induced a mitochondrial membrane potentialleading to the uptake of MitoSNAP inside mitochondria which led to itsactivation by thiols within mitochondria and to the release of largeamounts of NO. This NO led to the inhibition of respiration atcytochrome oxidase and this was reversed by the addition ofoxyhaemoglobin (˜5 μM) to degrade all accumulated NO to nitrate.

Example 9 Membrane Potential-Dependent Mitochondrial Uptake of MitoSNAPand NO. Release

By using a TPP-selective electrode (Asin-Cayuela, J., Manas, A. R.,James, A. M., Smith, R. A. & Murphy, M. P. Fine-tuning thehydrophobicity of a mitochondria-targeted antioxidant. FEBS Letts. 571,9-16 (2004)) a significant AT-dependent uptake of MitoSNAP into isolatedmitochondria was observed (FIG. 8). Following its accumulation withinmitochondria MitoSNAP interacted with the GSH-rich matrix to release NO.which then affected respiration by competitively inhibiting O₂consumption at cytochrome c oxidase. This was demonstrated by using NO.and O₂ electrodes to measure respiration rate and NO. concentrationsimultaneously (FIG. 9). Mitochondria were incubated with the complex Iinhibitor rotenone in the absence of substrate to prevent ΔΨ,generation, and addition of 20 μM MitoSNAP produced a small amount ofNO., presumably due to MitoSNAP diffusion into the mitochondrial matrixand reaction with GSH (FIG. 9a ). Addition of the respiratory substratesuccinate initiated O₂ consumption and generated a ΔΨ, leading to arapid increase in NO. production due to the accumulation of MitoSNAPwithin mitochondria and its reaction with GSH (FIG. 9a ). Therespiration rate slowed as NO. accumulated and this inhibition wasreversed by degrading NO. with the addition of OxyHb, indicating thatthe respiratory inhibition was due to the reversible competition betweenNO. and O₂ at cytochrome c oxidase (FIG. 9a ). As expected, addition of20 μM MitoNAP, which lacks the SNO function, had no effect onrespiration or the NO. electrode response. In contrast to MitoSNAP, theamount of NO. generated by 20 μM SNAP in the presence of energizedmitochondria was negligible and did not affect respiration (FIG. 9b ),presumably because it did not selectively enter the mitochondria.

To explore further the ΔΨ-dependence of NO. production by MitoSNAP,studies with decreased concentrations (5 μM) and fewer mitochondria (0.5mg protein/ml) were undertaken (FIGS. 9c & d). Under these conditionsthe initial production of NO. from MitoSNAP was negligible, butsubsequent mitochondrial energization with succinate led to a dramaticincrease in NO. production (FIG. 9c ). The build up of NO. decreasedrespiration and this was reversed by OxyHb, consistent with reversibleinhibition of cytochrome c oxidase by NO. (FIG. 9c ). Inclusion of theuncoupler carbonyl cyanide p-trifluoromethoxyphenylhydrazone (FCCP) inthe incubation resulted in decreased NO. production as the ΔΨ waslargely abolished, preventing the uptake of MitoSNAP into mitochondria(FIG. 9d ). The decreased accumulation of NO. in the presence of FCCPstill inhibited respiration, but in this case inhibition occurred at alower O₂ concentration, again consistent with a competitive interactionbetween NO. and O₂ at cytochrome c oxidase (FIG. 9d ). The metabolism ofMitoSNAP by mitochondria was investigated by pelleting the mitochondriaat various times and analyzing the amounts of MitoSNAP and MitoNAP inthe supernatant by RP-HPLC as shown in (FIGS. 9e & f). Energizedmitochondria rapidly consumed MitoSNAP and converted it to MitoNAP (FIG.9e ), while for unenergized mitochondria the conversion of MitoSNAP toMitoNAP was slower (FIG. 91). In summary, MitoSNAP is rapidlyaccumulated by energized mitochondria, driven by the ΔΨ, and once insidethe matrix it interacts with GSH and other thiols to produce NO. andMitoNAP. The NO. thus generated competes with O₂ for the active site ofcytochrome c oxidase, reversibly inhibiting respiration. MitoSNAP is aΔΨ-dependent source of intramitochondrial NO. that can reversiblymodulate mitochondrial O₂ consumption, particularly at low O₂concentrations.

Example 10 Uptake of MitoSNAP by Cells Leads to NO. Generation andRespiratory Inhibition

To evaluate the selective uptake of MitoSNAP by mitochondria withincells, the effect of MitoSNAP on respiration by Jurkat cells, a Tlymphocyte cell line that grows in suspension, was measured using an O₂electrode (FIG. 10). There was no initial effect on respiration rateafter addition of MitoSNAP, but as the cells consumed more O₂ therespiration rate decreased and approached zero even though there wasstill considerable O₂ remaining (FIG. 10a ). This inhibition wasreversible and was shown to be due to NO., as degradation with OxyHbrestored the maximal respiration rate and allowed the O₂ concentrationto reduce to zero (FIG. 10a ). It was noteworthy that at low O₂concentrations the NO. generated by MitoSNAP was sufficient to preventmitochondrial oxygen consumption almost entirely and maintain a low O₂concentration for at least 30 min in this system. This is clearlyillustrated in the expanded section of the O₂ electrode trace in FIG.10a , which shows that addition of OxyHb restores respiration causingthe O₂ concentration to rapidly decrease to zero by degrading NO. Incontrast, MitoNAP did not affect respiration, as shown by the O₂electrode trace decreasing rapidly to zero (FIG. 10b ). SNAP also had noeffect on respiration (FIG. 10c ), and addition of the uncoupler FCCPprior to MitoSNAP prevented the inhibition of respiration (FIG. 10d ).The effective K_(m) of cytochrome c oxidase for O₂ is very low (<1 μM)(Wikstrom, M., Krab, K. & Saraste, M. Cytochrome oxidase—a synthesisLondon: Academic press (1981)), illustrated by the sharp transition frommaximal O₂ consumption to zero respiration in FIG. 10b . This contrastswith the situation in the presence of MitoSNAP (FIG. 10a ) where thereis a gradual decline in O₂ consumption rate. These findings areconsistent with the ΔΨ-dependent uptake of MitoSNAP into mitochondriawithin cells facilitating NO. release which slows respiration throughthe competitive inhibition between NO. and O₂ at cytochrome c oxidase,which becomes more effective as the O₂ concentration decreases.

These results support the proposal that the reversible inhibition ofcytochrome c oxidase by the NO. produced from MitoSNAP may increase O₂bioavailability during hypoxic conditions. To explore this further, HeLacells were maintained in a humidified hypoxia workstation at 1% O₂concentration with 5% CO₂ and the balance N₂ for 60 min. Then theeffects of a further 30 min incubation with MitoSNAP, MitoNAP or themitochondrial inhibitor myxathiazol on the steady-state extracellularpO₂ was assessed by fluorescence quenching oximetry (FIG. 10e ).MitoSNAP and the mitochondrial inhibitor myxathiazol both increasedextracellular O₂ during hypoxia compared to untreated controls, whileMitoNAP had no effect (FIG. 10e ). This demonstrates that NO. productionby MitoSNAP within the mitochondria of hypoxic cells can be used to slowrespiration sufficiently to modulate cytosolic O₂ concentration.

Example 11 S-Nitrosation of Mitochondrial Protein Thiols by MitoSNAP

To evaluate the S-nitrosation of mitochondrial thiol proteins byMitoSNAP, MitoSNAP was incubated with isolated mitochondria and asensitive chemiluminescence assay was employed to measure SNOs(Feelisch, M. et al. Concomitant S-, N-, and heme-nitros(yl)ation inbiological tissues and fluids: implications for the fate of NO in vivo.FASEB. J. 16, 1775-85 (2002)). S-nitrosation of mitochondrial proteinsby MitoSNAP was found to peak over 2-3 min and then gradually decline(FIG. 11a ), consistent with the metabolism of MitoSNAP by energizedmitochondria seen in FIG. 9. Incubation of mitochondria with MitoSNAPfor 2.5 min showed extensive, concentration-dependent S-nitrosation ofmitochondrial proteins that was largely blocked by abolishing the ΔΨwith the uncoupler FCCP (FIG. 11b ). In contrast, SNAP, even at 50 μM,led to negligible S-nitrosation (FIG. 11b ). Functionalization of thefree protein thiols by preincubation of mitochondria with the thiolalkylating agent N-ethyl maleimide (NEM) blocked S-nitrosation byMitoSNAP (FIG. 11b ). Incubations in the absence of free NO., achievedby addition of excess OxyHb, still led to extensive mitochondrialS-nitrosation FIG. 12. Incubation of mitochondria with 500 μM of theNO.-donor 3,3-bis(aminoethyl)-1-hydroxy-2-oxo-1-triazene (Deta-NONOate),which spontaneously hydrolyzes to generate a five to ten-fold greaterNO. concentration than 5 μM MitoSNAP (FIG. 13a ) but does nottransnitrosate thiols (Dahm, C. C., Moore, K. & Murphy, M. P. PersistentS-nitrosation of complex I and other mitochondrial membrane proteins byS-nitrosothiols but not nitric oxide or peroxynitrite: Implications forthe interaction of nitric oxide with mitochondria. J. Biol. Chem. (2006)281, 10056-10065), gave ˜20 pmol SNO/mg protein, ˜30-fold less than thatcaused by 5 μM MitoSNAP (FIG. 13b ). The contribution of free NO. toS-nitrosation by MitoSNAP is thus seen as minor. In other words,MitoSNAP leads to the extensive S-nitrosation of mitochondrial thiolproteins following its ΔΨ-dependent uptake into the matrix and thisS-nitrosation is predominantly due to the direct transfer of NO fromMitoSNAP to thiolates within the matrix.

Incubation of C2C12 cells, an adherent mouse muscle cell line, withMitoSNAP led to the S-nitrosation of cell proteins reaching a maximumafter 5-10 min FIG. 14. The extent of cell protein S-nitrosation byMitoSNAP after 5 min was considerably greater than that by SNAP (FIG.11c ), and the uncoupler FCCP greatly decreased S-nitrosation byMitoSNAP (FIG. 11c ). These findings also signal that the S-nitrosationwas ΔΨ-dependent and due to mitochondrial accumulation of MitoSNAP. Toassess this further, we isolated a mitochondria-enriched fraction fromcells that had been incubated with MitoSNAP and found that themitochondrial proteins were extensively S-nitrosated, a result that wasdecreased by abolishing the ΔΨ with FCCP (FIG. 11d ). These datademonstrate the accumulation of MitoSNAP within mitochondria insidecells where it selectively S-nitrosates thiol proteins.

The data shown in FIGS. 10 & 11 support the conclusion that NO.production and S-nitrosation by MitoSNAP occurs selectively withinmitochondria which in turn indicates that most MitoSNAP crosses thecytosol and enters mitochondria without being degraded by cytosolic GSH.The uptake of alkylTPP molecules into mitochondria within cells israpid, equilibrating within 5-10 min (Ross, M. F. et al. Rapid andextensive uptake and activation of hydrophobic triphenylphosphoniumcations within cells. Biochem. J 411, 633-645 (2008)), and the ratelimiting step is passage across the plasma membrane with rapidsubsequent uptake into mitochondria (Ross, M. F. et al. Rapid andextensive uptake and activation of hydrophobic triphenylphosphoniumcations within cells. Biochem. J 411, 633-645 (2008) and Smith, R. A.,Kelso, G. F., James, A. M. & Murphy, M. P. Targeting coenzyme Qderivatives to mitochondria. Meth. Enzymol. 382, 45-67 (2004)).Consequently, once through the plasma membrane, MitoSNAP should remainin the cytosol for a very short time before uptake into mitochondria.The rate of reaction of GSH with SNAP is 5.4 M⁻¹·s⁻¹ (Hogg, N. Thekinetics of S-transnitrosation-a reversible second-order reaction. Anal.Biochem. 272, 257-62 (1999)). While other pathways of MitoSNAP decay inthe cytosol may also contribute, GSH is likely to be the major one andat a physiological GSH concentration of 5 mM the half-life for MitoSNAPin the cytosol should be ˜25 s, giving plenty of time for MitoSNAPuptake into mitochondria. The greater pH of the mitochondrial matrixrelative to the cytosol (8 vs 7.2) will also render mitochondrial thiolsmore reactive with MitoSNAP than those in the cytosol. These datasuggest that most MitoSNAP is taken up from the cytosol intomitochondria without being extensively degraded by cytosolic GSH.

The interaction of MitoSNAP with mitochondrial thiol proteins is likelyto initiate a dynamic process that may lead to other protein thiolmodifications, such as disulfide formation, glutathionylation,sulfenylation or sulfenylamide formation, in addition to persistentS-nitrosation. To assess these, the content of reactive, solvent-exposedthiols on native liver mitochondrial proteins was measured. Undercontrol conditions there were 43.2±3.8 nmol thiols/mg protein (mean±sem,n=3) and after incubation with 5 μM MitoSNAP for 5 min this did notchange significantly (46.7±9.6; mean±sem, n=3). This is consistent withthe finding that the maximum extent of mitochondrial proteinS-nitrosation by 5 μM MitoSNAP (˜500 pmol SNO/mg protein; FIG. 11) wasonly ˜1% of the total number of protein thiols available. A small amountof MitoSNAP binding to mitochondrial thiol proteins through theformation of mixed disulfides was detectable by immunoblotting.Protein-glutathione mixed disulfides in mitochondria incubated with 5 μMMitoSNAP were not detectable, even though the thiol oxidant diamide ledto extensive glutathionylation. Furthermore, incubation of mitochondriawith 10 μM MitoSNAP for 10 min showed no loss of GSH or accumulation ofGSSG. Under these conditions MitoSNAP does not lead to bulk changes infree protein thiol content or the GSH pool but instead causes therelatively persistent S-nitrosation of a small proportion ofmitochondrial protein thiols.

To visualize these S-nitrosated mitochondrial proteins, we adapted asensitive and robust extension of the “biotin switch technique” in whichfree thiols are first alkylated, then S-nitrosothiols are selectivelydegraded with ascorbate and copper to generate an exposed thiol that isthen labelled with a fluorescently-tagged Cy3 maleimide (Wang, X.,Kettenhofen, N. J., Shiva, S., Hogg, N. & Gladwin, M. T. Copperdependence of the biotin switch assay: modified assay for measuringcellular and blood nitrosated proteins. Free Radic. Biol. Med. 44,1362-72 (2008)). The fluorescently-tagged proteins can then besensitively detected by scanning the fluorescence of the gels. Thistechnique showed that exposure of liver (FIG. 11e ) or heart (FIG. 11f )mitochondria to MitoSNAP led to the S-nitrosation of a large number ofdifferent proteins. In contrast, the thiol oxidant diamide did not labelproteins, indicating that this technique is selective for SNOs overother thiol oxidative modifications. To summarize, MitoSNAP S-nitrosatesa range of mitochondrial proteins, although only a small proportion ofmitochondrial protein thiols are modified. This S-nitrosation persistsin the presence of a reduced mitochondrial glutathione pool.

Example 12 Effect of MitoSNAP on Complex I Activity and S-Nitrosation

Complex I, the major entry point for electrons into the mitochondrialrespiratory chain, can be S-nitrosated in vitro and in vivo, and thiscorrelates with potentially important alterations to its activity. Toevaluate the effect of MitoSNAP on complex I activity, we first examinedthe effect of MitoSNAP on respiration in isolated heart mitochondria.MitoSNAP inhibited respiration by about 30% relative to MitoNAP on thecomplex I-linked substrates glutamate/malate, but had very little effecton respiration with the complex II substrate succinate (FIG. 15a ). Asthis inhibition occurred in the presence of high O₂ concentrations, didnot vary as the O₂ concentration decreased and did not affectrespiration on succinate, it was not due to NO. inhibition at cytochromec oxidase (cf. FIG. 9) and MitoSNAP is either inhibiting NADH oxidationby complex I or affecting NADH supply. To distinguish between these, wenext investigated respiration by fragments of heart mitochondrialmembranes that directly oxidize both succinate and NADH (FIG. 15b )(Beer, S. M. et al. Glutaredoxin 2 Catalyzes the reversible oxidationand glutathionylation of mitochondrial membrane thiol proteins:implications for mitochondrial redox regulation and antioxidant defense.J. Biol. Chem. 279, 47939-51 (2004)). Results showed that MitoSNAPinhibited NADH respiration by about 35% while succinate was unaffected(FIG. 15b ), strongly pointing to a specific effect of MitoSNAP oncomplex I.

The inhibition of complex I by MitoSNAP in mitochondria occurred in thepresence of a reduced GSH pool, and we next assessed the effect of GSHon the MitoSNAP inhibition of complex I in membranes. WhenMitoSNAP-treated mitochondrial membranes were isolated by centrifugationand resuspended in the presence of 1 mM GSH for 10-15 min the inhibitionof NADH respiration by MitoSNAP was not reversed. Incubation ofmitochondrial membranes with MitoSNAP for 5 min under the conditionsdescribed in FIG. 15b led to the formation of 4.8±0.9 nmol proteinSNOs/mg protein (mean f SD, n=4) and GSH treatment as above onlydecreased the SNO content by ˜53%, thus the inhibition of complex Iactivity on MitoSNAP treatment may result from S-nitrosation that isrelatively resistant to reversal by GSH. To confirm that complex I wasS-nitrosated, we incubated mitochondrial membranes with MitoSNAP for 5min and then blocked exposed thiols with NEM before selectivelyconverting S-nitrosothiols to thiols by reaction with copper/ascorbateand then tagging them with the fluorescent label Cy3-maleimide asbefore³⁷. Complex I was then isolated by blue native polyacrylamide gelelectrophoresis (BN-PAGE) and this showed that complex I wasS-nitrosated (FIG. 15c ). (The reason for the intense but invariantlabelling of complex V by Cy3-maleimide is unclear). Incubation ofmembranes with 1 mM GSH for 15 min did not reverse the S-nitrosation ofcomplex I (FIG. 15d ), therefore the continued inhibition of complex Iby MitoSNAP even after incubation with GSH may be due to the persistenceof S-nitrosation. To summarize, MitoSNAP persistently S-nitrosatescomplex I and this correlates with partial inhibition of its activity.

Example 13 Vasorelaxation of Blood Vessels by MitoSNAP

The uptake of MitoSNAP into mitochondria within vascular tissue and thesubsequent NO. release may make MitoSNAP a potent vasodilator. This wasevaluated by determining whether MitoSNAP could relax the smooth musclein blood vessel walls. Sections of rat thoracic aorta were mounted in amyograph, pre-contracted and then cumulative amounts of MitoSNAP wereadded (FIG. 16a ). This showed that MitoSNAP was a vasodilator, and thatpretreating MitoSNAP to degrade its SNO moiety rendered it ineffective(FIG. 16a ). In this assay MitoSNAP was a more potent vasodilator thanSNAP with an EC₅₀ of 4.5 nM compared to 19.5 nM for SNAP (FIG. 16b ).MitoSNAP was also an effective vasodilator in endothelium-denuded ratresistance mesenteric arteries (FIG. 17). These data demonstrateMitoSNAP is an effective endothelium-independent vasodilator acting viaNO. release within tissues.

Example 14 MitoSNAP Protects Against Cardiac Ischemia-Reperfusion Injury(Ex Vivo)

There is considerable evidence pointing to mitochondrial damage duringthe reperfusion phase of cardiac ischemia-reperfusion (I/R) injury. Thisdamage can be decreased by ischemic preconditioning (IPC), wherebyprevious exposure to short periods of I/R protects against subsequentI/R injury (Burwell, L. S. & Brookes, P. S. Mitochondria as a target forthe cardioprotective effects of nitric oxide in ischemia-reperfusioninjury. Antioxid. Redox Signal. 10, 579-99 (2008)). While the nature ofthe protection afforded by IPC remains obscure, mitochondrial NO. andNO₂ ⁻ metabolism may play a role. As MitoSNAP is rapidly taken up bymitochondria within cells where it S-nitrosates mitochondrial thiolproteins, including complex I (FIGS. 11 & 15), it may also protect heartmitochondria from I/R damage. Therefore we determined if MitoSNAP coulddecrease I/R injury in a mouse heart Langendorff model (FIGS. 16c & d).When mouse hearts were Langendorff perfused and subjected to 25 minglobal normothermic ischemia followed by 1 h of normoxic reperfusionthere was extensive heart damage, as indicated by the decrease in heartfunction (rate pressure product, RPP) (FIG. 16c ) and by the largeinfarcted area (FIG. 16d ). When MitoSNAP (100 nM, final) was perfusedinto the heart during reperfusion there was significantly less heartdamage, as indicated by the better recovery of heart function (FIG. 16c) and the decrease in infarct size (FIG. 16d ), compared to the controland MitoNAP-infused hearts. Infusion of 100 nM MitoNAP during thereperfusion phase was also slightly protective, but was far less so thanMitoSNAP (FIGS. 16c & d), indicating that uptake of the intact NO. donorinto mitochondria was required for full protection.

The small protective effect of MitoNAP may be due to the antioxidanteffect of accumulating the N-acetylpenicillamine group, or the TPPcation, in mitochondria. A small degree of protection was also observedwhen MitoSNAP was delivered before the I/R injury, similar to thatobserved with the parent compound MitoNAP (FIG. 18). The rapidmetabolism of MitoSNAP in cells may be such that pre-treatment does notinduce S-nitrosation at the critical time point of reperfusion requiredfor maximal protection and the mild protection seen during pre-treatmentis therefore likely to be due to residual antioxidant activity of theN-acetylpenicillamine function on MitoNAP. These findings support theS-nitrosation of mitochondrial proteins as a therapeutic strategy inminimizing UR injury and is also consistent with the S-nitrosation ofmitochondrial proteins such as complex I contributing to both IPC and tothe protection of mitochondrial function by NO. and NO₂ ⁻ during I/Rinjury.

Example 15 MitoSNAP Protects Against Cardiac Ischemia-Reperfusion Injury(In Vivo)

Following anesthesia (Avertin, 2,2,2-tribromoethanol, 0.5 mg/kg IP) micewere intubated with a 20 gauge PE catheter which was connected to arodent ventilator (Harvard MiniVent, 120 cycles/min., 0.3 ml tidalvolume). A thoracotomy was performed and the left anterior descendingcoronary artery (LAD) was then ligated and occluded with a 9-0 prolinesuture for 30 min. MitoSNAP or MitoNAP (100 ng/kg) were dissolved in0.9% NaCl saline (final volume 50 μl) and then administered 5 min priorto reperfusion into left ventricle (LV) using 30 G^(1/2) needle.Reperfusion was initiated by removing the suture. The chest and skinwere sutured closed, the endotracheal tube removed and the animalreturned to its cage to recover. After 24 hrs. the animal wasre-anesthetized, the LAD re-ligated, and Evans' blue dye (1.0% w/v, 1.5ml) perfused via the LV. The heart was removed and cut transversely into5 sections, which were incubated in 1.0% 2,3,5-triphenyltetrazoliumchloride, 37° C. for 10 min. The area at risk (AR) and infarct zone wereindicated by the areas unstained with Evans' blue and TTC, respectively.Slices were scanned and infarct/AR ratios determined with NIH ImageJsoftware. The results are shown in FIG. 19.

INDUSTRIAL APPLICABILITY

The compounds of the invention provide a delivery system for NO directlyinto the mitochondria. The compounds are selectively taken up by themitochondria driven by the membrane potential. Selective delivery of NOin the mitochondria allows targeting of local NO-sensitive variables,such as the inhibition of respiration. The compounds of the inventioncan also S-nitosylate proteins present in the mitochondria. ConventionalNO donors produce NO throughout the cell and affect a great number of NOsignaling pathways.

The compounds of the invention are of use in the treatment of conditionswhich are affected by mitochondrial respiration such asischaemia-reperfusion injury. They are also able to inhibit angiogenesisand therefore are of use in the treatment and prevention of tumourgrowth and/or metastasis.

What is claimed:
 1. A method of treating a disease or disorder selectedfrom the group comprising angina, stroke, myocardial infarction andischaemia-reperfusion injury in a subject in need thereof, said methodcomprising administering to the subject a therapeutically effectiveamount of a compound of formula I or pharmaceutically acceptable saltsthereof, wherein the compound of formula I has the following structure:

wherein X⁻ is an anion; and L is a linker group selected from the groupconsisting of (a) (C₁₋₃₀) alkylene, (b) (C_(1-x)) alkylene-NR—(C_(1-y))alkylene, wherein R is H, alkyl, or aryl, (c) (C_(1-x))alkylene-NR—C(═O)—(C_(1-y)) alkylene, wherein R is H, alkyl, or aryl,(d) (C_(1-x)) alkylene-C(═O)—NR—(C_(1-y)) alkylene, wherein R is H,alkyl, or aryl, (e) (C_(1-x)) alkylene-O—(C_(1-y)) alkylene, (f)(C_(1-x)) alkylene-O—C(═O)—(C_(1-y)) alkylene, (g) (C_(1-x))alkylene-S—(C_(1-y)) alkylene, or (h) (C_(1-x)) alkylene-aryl-(C_(1-y))alkylene, wherein x+y=30 and wherein each alkylene is optionallysubstituted with one or more functional groups independently selectedfrom the group consisting of hydrogen, alkyl, cycloalkyl, alkenyl,alkynyl, haloalkyl, aryl, aminoalkyl, hydroxyalkyl, alkoxyalkyl,alkylthio, alkylsulfinyl, alkylsulfonyl, carboxyalkyl, cyano, oxy,amino, alkylamino, aminocarbonyl, alkoxycarbonyl, aryloxycarbonyl,alkylaminocarbonyl, arylaminocarbonyl, aralkylaminocarbonyl,alkylcarbonylamino, arylcarbonylamino, aralkylcarbonylamino,alkylcarbonyl, heterocyclocarbonyl, aminosulfonyl, alkylaminosulfonyl,alkylsulfonyl, and heterocyclosulfonyl, or the substituent groups ofadjacent carbon atoms in the linker group can be taken together with thecarbon atoms to which they are attached to form a carbocycle or aheterocycle.
 2. The method of claim 1, wherein the compound of formula Iis administered as a pharmaceutical composition comprising atherapeutically effective amount of a compound of formula I with one ormore pharmaceutically acceptable excipients, carriers or diluents. 3.The method of claim 1, wherein the compound of formula I comprises alipophilic cation linked by a linker group to a thionitrite moiety,wherein the compound has the structure of the general formula I and thelipophilic cation is capable of mitochondrially targeting thethionitrite moiety.
 4. The method of claim 1, wherein the anion is ananion derived from an acid selected from the group comprisinghydrochloric, hydrobromic, hydroiodic, sulfuric, sulfurous, nitric,nitrous, phosphoric, phosphorous, alkylsulfonic or arylsulfonic acid. 5.The method of claim 1, wherein the compound is of formula (II)

wherein n is from 0 to 27 and R₁ and R₂ are independently selected fromthe group comprising hydrogen, alkyl and aryl.
 6. The method of claim 1,wherein the compound is of formula (III)

wherein n is from 0 to 27 and R₁, R₂, R₃ and R₄ are independentlyselected from the group comprising hydrogen, alkyl and aryl.
 7. Themethod of claim 1, wherein the compound is of formula (IV)

wherein n is from 0 to 27 and R₁, R₂ and R₃ are independently selectedfrom the group comprising hydrogen, alkyl and aryl.
 8. The method ofclaim 1, wherein the compound is formula (V)

wherein n is from 0 to 27 and R₁, R₂, R₃, R₄ and R₅ are independentlyselected from the group comprising hydrogen, alkyl and aryl.
 9. Themethod of claim 1, wherein the compound is of formula (VI)

wherein n is from 0 to 27 and R₁, R₂, R₃ and R₄ are independentlyselected from the group comprising hydrogen, alkyl and aryl.
 10. Themethod of claim 5, wherein R₁ and R₂ are independently selected from thegroup comprising hydrogen, methyl, ethyl, propyl, butyl, pentyl andhexyl, X⁻ is chloride, bromide, iodide or methanesulfonate and n is from0 to
 10. 11. The method of claim 5, wherein R₁ and R₂ are methyl, X⁻ isbromide, or methanesulfonate and n is from 0 to
 2. 12. The method ofclaim 6, wherein R₁ R₂, R₃ and R₄ are independently selected from thegroup comprising hydrogen, methyl, ethyl, propyl, butyl, pentyl andhexyl, X⁻ is chloride, bromide, iodide or methanesulfonate and n is from0 to
 10. 13. The method of claim 6, wherein R₁ R₂, and R₃ are methyl, R₄is hydrogen, X⁻ is bromide or methanesulfonate and n is from 1 to
 5. 14.The method of claim 7, wherein R₁ R₂ and R₃ are independently selectedfrom the group comprising hydrogen, methyl, ethyl, propyl, butyl, pentyland hexyl, X⁻ is chloride, bromide, iodide or methanesulfonate and n isfrom 0 to
 10. 15. The method of claim 7, wherein R₁ R₂, and R₃ aremethyl, X⁻ is bromide or methanesulfonate and n is from 1 to
 5. 16. Themethod of claim 8, wherein R₁, R₂, R₃, R₄ and R₅ are independentlyselected from the group comprising hydrogen, methyl, ethyl, propyl,butyl, pentyl and hexyl, X⁻ is chloride, bromide, iodide ormethanesulfonate and n is from 0 to
 10. 17. The method of claim 8,wherein R₁, R₂, R₃, R₄ and R₅ are methyl, X⁻ is bromide ormethanesulfonate and n is from 1 to
 5. 18. The method of claim 9,wherein R₁ R₂, R₃ and R₄ are independently selected from the groupcomprising hydrogen, methyl, ethyl, propyl, butyl, pentyl and hexyl, X⁻is chloride, bromide, iodide or methanesulfonate and n is from 0 to 10.19. The method of claim 9, wherein R₁ R₂, R₃ and R₄ are methyl, X⁻ isbromide or methanesulfonate and n is from 1 to
 5. 20. The method ofclaim 1, wherein the compound is